The holder whose full name is Goldblatt, Lawrence Ira,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12007207C) which status is Expired.
| Name | Goldblatt, Lawrence Ira |
|---|---|
| License Number | 12007207C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |