The holder whose full name is GRIFFITH, ERMEL WEBSTER,come from PORTAGE IN,hold the CSR-Dentist license(NO.12004721B) which status is Expired.
Name | GRIFFITH, ERMEL WEBSTER |
---|---|
License Number | 12004721B |
License Type | CSR-Dentist |
License Status | Expired |
City | PORTAGE |
State | IN |