The holder whose full name is COMBS, ELBERT PARK,come from MADISON IN,hold the CSR-Dentist license(NO.12005004B) which status is Expired.
| Name | COMBS, ELBERT PARK |
|---|---|
| License Number | 12005004B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | MADISON |
| State | IN |