The holder whose full name is LACOUNT, DELMAR PAUL,come from VALPARAISO IN,hold the CSR-Dentist license(NO.12004648B) which status is Expired.
| Name | LACOUNT, DELMAR PAUL |
|---|---|
| License Number | 12004648B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | VALPARAISO |
| State | IN |