The holder whose full name is LePage, Michele T.,come from Elkhart IN,hold the CSR-Dentist license(NO.12010618B) which status is Expired.
| Name | LePage, Michele T. |
|---|---|
| License Number | 12010618B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Elkhart |
| State | IN |