The holder whose full name is Brewer, Harold Eugene,come from BLOOMINGTON IN,hold the CSR-Dentist license(NO.12005633C) which status is Expired.
| Name | Brewer, Harold Eugene |
|---|---|
| License Number | 12005633C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | BLOOMINGTON |
| State | IN |