The holder whose full name is GROMER, ROSCOE LEE,come from MITCHELL IN,hold the CSR-Dentist license(NO.12004371B) which status is Expired.
| Name | GROMER, ROSCOE LEE |
|---|---|
| License Number | 12004371B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | MITCHELL |
| State | IN |