The holder whose full name is HALLE, RAYMOND EARL,come from Crawfordsville IN,hold the CSR-Dentist license(NO.12005306B) which status is Expired.
Name | HALLE, RAYMOND EARL |
---|---|
License Number | 12005306B |
License Type | CSR-Dentist |
License Status | Expired |
City | Crawfordsville |
State | IN |