The holder whose full name is Roach, Philip C,come from HUNTINGTON IN,hold the CSR-Dentist license(NO.12008612C) which status is Expired.
| Name | Roach, Philip C |
|---|---|
| License Number | 12008612C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | HUNTINGTON |
| State | IN |