The holder whose full name is MILLER, EDGAR ARHTUR,come from KENDALLVILLE IN,hold the CSR-Dentist license(NO.12004082B) which status is Expired.
| Name | MILLER, EDGAR ARHTUR |
|---|---|
| License Number | 12004082B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | KENDALLVILLE |
| State | IN |