The holder whose full name is Eastman, John Russell,come from Muncie IN,hold the CSR-Dentist license(NO.12007147B) which status is Expired.
| Name | Eastman, John Russell |
|---|---|
| License Number | 12007147B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Muncie |
| State | IN |