The holder whose full name is DAVIDSON JR, JOHN EDWARD,come from ELKHART IN,hold the CSR-Dentist license(NO.12004283B) which status is Expired.
| Name | DAVIDSON JR, JOHN EDWARD |
|---|---|
| License Number | 12004283B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | ELKHART |
| State | IN |