The holder whose full name is MARTIN, EDWARD JAMES,come from COVINGTON IN,hold the CSR-Dentist license(NO.12006965B) which status is Active.
| Name | MARTIN, EDWARD JAMES |
|---|---|
| License Number | 12006965B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | COVINGTON |
| State | IN |