The holder whose full name is Bergman, Robert T.,come from Seymour IN,hold the CSR-Dentist license(NO.12009216C) which status is Expired.
| Name | Bergman, Robert T. |
|---|---|
| License Number | 12009216C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Seymour |
| State | IN |