The holder whose full name is Weatherford, Alvin Derrick,come from Merrillville IN,hold the CSR-Dentist license(NO.12010680B) which status is Expired.
| Name | Weatherford, Alvin Derrick |
|---|---|
| License Number | 12010680B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Merrillville |
| State | IN |