The holder whose full name is Pate, Frank Edward,come from Gary IN,hold the CSR-Dentist license(NO.12005617C) which status is Expired.
| Name | Pate, Frank Edward |
|---|---|
| License Number | 12005617C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Gary |
| State | IN |