The holder whose full name is Baker, Bruce Albert,come from Evansville IN,hold the CSR-Dentist license(NO.12009057B) which status is Expired.
| Name | Baker, Bruce Albert |
|---|---|
| License Number | 12009057B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Evansville |
| State | IN |