The holder whose full name is LASKOWSKI, EDMUND E,come from GREENSBURG IN,hold the CSR-Dentist license(NO.12005878B) which status is Expired.
| Name | LASKOWSKI, EDMUND E |
|---|---|
| License Number | 12005878B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | GREENSBURG |
| State | IN |