The holder whose full name is Kowal, Mark H.,come from EAST CHICAGO IN,hold the CSR-Dentist license(NO.12008586C) which status is Expired.
Name | Kowal, Mark H. |
---|---|
License Number | 12008586C |
License Type | CSR-Dentist |
License Status | Expired |
City | EAST CHICAGO |
State | IN |