The holder whose full name is SPECTOR, LOUIS DALE,come from EAST CHICAGO IN,hold the CSR-Dentist license(NO.12004116B) which status is Expired.
| Name | SPECTOR, LOUIS DALE |
|---|---|
| License Number | 12004116B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | EAST CHICAGO |
| State | IN |