The holder whose full name is OLDHAM, JOHN W,come from BLOOMINGTON IN,hold the CSR-Dentist license(NO.12005327B) which status is Expired.
| Name | OLDHAM, JOHN W |
|---|---|
| License Number | 12005327B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | BLOOMINGTON |
| State | IN |