The holder whose full name is Carroll, Randy John,come from Roachdale IN,hold the CSR-Dentist license(NO.12008237B) which status is Expired.
| Name | Carroll, Randy John |
|---|---|
| License Number | 12008237B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Roachdale |
| State | IN |