The holder whose full name is Shank, John Gaylord,come from KENDALLVILLE IN,hold the CSR-Dentist license(NO.12006329B) which status is Expired.
| Name | Shank, John Gaylord |
|---|---|
| License Number | 12006329B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | KENDALLVILLE |
| State | IN |