The holder whose full name is ALTON, HERBERT MACK,come from CORYDON IN,hold the CSR-Dentist license(NO.12004810B) which status is Expired.
| Name | ALTON, HERBERT MACK |
|---|---|
| License Number | 12004810B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | CORYDON |
| State | IN |