The holder whose full name is OLJACE, DONALD EUGENE,come from GREENSBURG IN,hold the CSR-Dentist license(NO.12005739B) which status is Expired.
Name | OLJACE, DONALD EUGENE |
---|---|
License Number | 12005739B |
License Type | CSR-Dentist |
License Status | Expired |
City | GREENSBURG |
State | IN |