The holder whose full name is BACKES, EDWARD LEE,come from OUT OF STATE FL,hold the CSR-Dentist license(NO.12007443B) which status is Expired.
| Name | BACKES, EDWARD LEE |
|---|---|
| License Number | 12007443B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | OUT OF STATE |
| State | FL |