The holder whose full name is BUCHANAN, RICHARD,come from BEDFORD IN,hold the CSR-Dentist license(NO.12004892B) which status is Expired.
| Name | BUCHANAN, RICHARD |
|---|---|
| License Number | 12004892B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | BEDFORD |
| State | IN |