The holder whose full name is Alter, Eugene Allen,come from ANGOLA IN,hold the CSR-Dentist license(NO.12006367B) which status is Expired.
| Name | Alter, Eugene Allen |
|---|---|
| License Number | 12006367B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | ANGOLA |
| State | IN |