The holder whose full name is Carlson, Kenneth R.,come from Carmel IN,hold the CSR-Dentist license(NO.12008375B) which status is Expired.
| Name | Carlson, Kenneth R. |
|---|---|
| License Number | 12008375B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Carmel |
| State | IN |