The holder whose full name is Lubarsky, Anatoly,come from BLOOMINGTON IN,hold the CSR-Dentist license(NO.12006564B) which status is Expired.
Name | Lubarsky, Anatoly |
---|---|
License Number | 12006564B |
License Type | CSR-Dentist |
License Status | Expired |
City | BLOOMINGTON |
State | IN |