The holder whose full name is PASKASH, LEO,come from MERRILLVILLE IN,hold the CSR-Dentist license(NO.12004790B) which status is Expired.
| Name | PASKASH, LEO |
|---|---|
| License Number | 12004790B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | MERRILLVILLE |
| State | IN |