The holder whose full name is Rothhaar, Raymond,come from Muncie IN,hold the CSR-Dentist license(NO.12005054B) which status is Expired.
| Name | Rothhaar, Raymond |
|---|---|
| License Number | 12005054B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Muncie |
| State | IN |