The holder whose full name is KLEEHAMMER, DANIEL S,come from Valparaiso IN,hold the CSR-Dentist license(NO.12005558B) which status is Expired.
| Name | KLEEHAMMER, DANIEL S |
|---|---|
| License Number | 12005558B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Valparaiso |
| State | IN |