The holder whose full name is Hembroff, Richard S.,come from DYER IN,hold the CSR-Dentist license(NO.12005723B) which status is Expired.
| Name | Hembroff, Richard S. |
|---|---|
| License Number | 12005723B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | DYER |
| State | IN |