The holder whose full name is ALLEN, ROBERT RUFUS,come from GRANGER IN,hold the CSR-Dentist license(NO.12004599B) which status is Expired.
| Name | ALLEN, ROBERT RUFUS |
|---|---|
| License Number | 12004599B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | GRANGER |
| State | IN |