The holder whose full name is Bloomer, Richard S.,come from CARMEL IN,hold the CSR-Dentist license(NO.12006561B) which status is Expired.
| Name | Bloomer, Richard S. |
|---|---|
| License Number | 12006561B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | CARMEL |
| State | IN |