The holder whose full name is Radtke, Philip Karl,come from CHESTERTON IN,hold the CSR-Dentist license(NO.12009839C) which status is Expired.
| Name | Radtke, Philip Karl |
|---|---|
| License Number | 12009839C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | CHESTERTON |
| State | IN |