The holder whose full name is Kussmaul, John J.,come from Merrillville IN,hold the CSR-Dentist license(NO.12007811D) which status is Expired.
| Name | Kussmaul, John J. |
|---|---|
| License Number | 12007811D |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Merrillville |
| State | IN |