The holder whose full name is Austgen, Robert S.,come from SOUTH BEND IN,hold the CSR-Dentist license(NO.12007114D) which status is Expired.
| Name | Austgen, Robert S. |
|---|---|
| License Number | 12007114D |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |