The holder whose full name is Kaneshiro, Kenneth K,come from CARMEL IN,hold the CSR-Dentist license(NO.12007791B) which status is Expired.
| Name | Kaneshiro, Kenneth K |
|---|---|
| License Number | 12007791B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | CARMEL |
| State | IN |