The holder whose full name is BRESICK, ROBERT WALLACE,come from LAGRANGE IN,hold the CSR-Dentist license(NO.12005195B) which status is Expired.
| Name | BRESICK, ROBERT WALLACE |
|---|---|
| License Number | 12005195B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | LAGRANGE |
| State | IN |