The holder whose full name is JOHNSON, JOHN EDWIN,come from NEW ALBANY IN,hold the CSR-Dentist license(NO.12005447B) which status is Expired.
| Name | JOHNSON, JOHN EDWIN |
|---|---|
| License Number | 12005447B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | NEW ALBANY |
| State | IN |