The holder whose full name is Denemark, Paul John,come from HIGHLAND IN,hold the CSR-Dentist license(NO.12010019B) which status is Expired.
| Name | Denemark, Paul John |
|---|---|
| License Number | 12010019B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | HIGHLAND |
| State | IN |