The holder whose full name is Moll, Melvin Charles,come from Greenfield IN,hold the CSR-Dentist license(NO.12006411C) which status is Expired.
| Name | Moll, Melvin Charles |
|---|---|
| License Number | 12006411C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Greenfield |
| State | IN |