The holder whose full name is MC DOUGALL, MICHAEL PAUL,come from HARTFORD CITY IN,hold the CSR-Dentist license(NO.12006514B) which status is Expired.
| Name | MC DOUGALL, MICHAEL PAUL |
|---|---|
| License Number | 12006514B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | HARTFORD CITY |
| State | IN |