The holder whose full name is DICK, HAROLD ROBERT,come from WEST LAFAYETTE IN,hold the CSR-Dentist license(NO.12004825B) which status is Expired.
| Name | DICK, HAROLD ROBERT |
|---|---|
| License Number | 12004825B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | WEST LAFAYETTE |
| State | IN |