The holder whose full name is HASLEM, JOHN ROBERT,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12005905B) which status is Expired.
| Name | HASLEM, JOHN ROBERT |
|---|---|
| License Number | 12005905B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |