The holder whose full name is LAUDEMAN, SAM ROBERTS,come from ELWOOD IN,hold the CSR-Dentist license(NO.12004785B) which status is Expired.
| Name | LAUDEMAN, SAM ROBERTS |
|---|---|
| License Number | 12004785B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | ELWOOD |
| State | IN |