The holder whose full name is Friedman, Jerome Lee,come from PLAINFIELD IN,hold the CSR-Dentist license(NO.12006264B) which status is Expired.
| Name | Friedman, Jerome Lee |
|---|---|
| License Number | 12006264B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | PLAINFIELD |
| State | IN |