The holder whose full name is PORTER, ERNEST HENRY,come from YORKTOWN IN,hold the CSR-Dentist license(NO.12004328B) which status is Expired.
| Name | PORTER, ERNEST HENRY |
|---|---|
| License Number | 12004328B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | YORKTOWN |
| State | IN |