The holder whose full name is ABBOTT, LOUIS ALBERT,come from MONTICELLO IN,hold the CSR-Dentist license(NO.12005464B) which status is Expired.
| Name | ABBOTT, LOUIS ALBERT |
|---|---|
| License Number | 12005464B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | MONTICELLO |
| State | IN |