The holder whose full name is HEIMANSOHN, HENRY CHARLES,come from DANVILLE IN,hold the CSR-Dentist license(NO.12004836B) which status is Expired.
| Name | HEIMANSOHN, HENRY CHARLES |
|---|---|
| License Number | 12004836B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | DANVILLE |
| State | IN |