The holder whose full name is Prawat, James Steven,come from Richmond IN,hold the CSR-Dentist license(NO.12008872B) which status is Expired.
| Name | Prawat, James Steven |
|---|---|
| License Number | 12008872B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Richmond |
| State | IN |