The holder whose full name is Grothhouse, Erik Gene,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12008908C) which status is Expired.
| Name | Grothhouse, Erik Gene |
|---|---|
| License Number | 12008908C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |