The holder whose full name is Clausen, Edward Laurence,come from Highland IN,hold the CSR-Dentist license(NO.12006288B) which status is Expired.
| Name | Clausen, Edward Laurence |
|---|---|
| License Number | 12006288B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Highland |
| State | IN |