The holder whose full name is Smydo, Jane A,come from SOUTH BEND IN,hold the CSR-Dentist license(NO.12008670B) which status is Expired.
| Name | Smydo, Jane A |
|---|---|
| License Number | 12008670B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |