The holder whose full name is BOHNKE, HAROLD WARREN,come from DECATUR IN,hold the CSR-Dentist license(NO.12005466B) which status is Expired.
| Name | BOHNKE, HAROLD WARREN |
|---|---|
| License Number | 12005466B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | DECATUR |
| State | IN |