The holder whose full name is Padgett, Daniel Joseph,come from Borden IN,hold the CSR-Dentist license(NO.12007644B) which status is Expired.
| Name | Padgett, Daniel Joseph |
|---|---|
| License Number | 12007644B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Borden |
| State | IN |