The holder whose full name is VanHorn, Peter,come from Terre Haute IN,hold the CSR-Dentist license(NO.12007075B) which status is Expired.
| Name | VanHorn, Peter |
|---|---|
| License Number | 12007075B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Terre Haute |
| State | IN |