The holder whose full name is Miller, David Lee,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12006214B) which status is Expired.
| Name | Miller, David Lee |
|---|---|
| License Number | 12006214B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |