The holder whose full name is REDDING, RICHARD EUGENE,come from CROWN POINT IN,hold the CSR-Dentist license(NO.12004804B) which status is Expired.
| Name | REDDING, RICHARD EUGENE |
|---|---|
| License Number | 12004804B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | CROWN POINT |
| State | IN |