The holder whose full name is KING, JOHN EDWARD,come from TERRE HAUTE IN,hold the CSR-Dentist license(NO.12004519B) which status is Expired.
| Name | KING, JOHN EDWARD |
|---|---|
| License Number | 12004519B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | TERRE HAUTE |
| State | IN |