The holder whose full name is Diekmann, John David,come from Evansville IN,hold the CSR-Dentist license(NO.12007227B) which status is Expired.
| Name | Diekmann, John David |
|---|---|
| License Number | 12007227B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Evansville |
| State | IN |