The holder whose full name is MILLER, ALVA RICHARD,come from La Porte IN,hold the CSR-Dentist license(NO.12005424B) which status is Expired.
| Name | MILLER, ALVA RICHARD |
|---|---|
| License Number | 12005424B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | La Porte |
| State | IN |