The holder whose full name is Johnson, Paul Cleophas,come from Indianapolis IN,hold the CSR-Dentist license(NO.12008585C) which status is Expired.
| Name | Johnson, Paul Cleophas |
|---|---|
| License Number | 12008585C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Indianapolis |
| State | IN |