The holder whose full name is Perry, Michael Charles,come from Logansport IN,hold the CSR-Dentist license(NO.12006826C) which status is Expired.
| Name | Perry, Michael Charles |
|---|---|
| License Number | 12006826C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Logansport |
| State | IN |