The holder whose full name is De Brota, Joseph Paul,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12006805B) which status is Expired.
| Name | De Brota, Joseph Paul |
|---|---|
| License Number | 12006805B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |