The holder whose full name is Natalie, August Michael,come from PLAINFIELD IN,hold the CSR-Dentist license(NO.12006736B) which status is Expired.
| Name | Natalie, August Michael |
|---|---|
| License Number | 12006736B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | PLAINFIELD |
| State | IN |