The holder whose full name is Gorthy, Michael Allen,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12010029B) which status is Expired.
| Name | Gorthy, Michael Allen |
|---|---|
| License Number | 12010029B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |