The holder whose full name is Johns, Laurence Douglas,come from SOUTH BEND IN,hold the CSR-Dentist license(NO.12007248C) which status is Expired.
| Name | Johns, Laurence Douglas |
|---|---|
| License Number | 12007248C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |