The holder whose full name is Brooks, Keith Allen,come from NEW ALBANY IN,hold the CSR-Dentist license(NO.12009740B) which status is Expired.
| Name | Brooks, Keith Allen |
|---|---|
| License Number | 12009740B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | NEW ALBANY |
| State | IN |