The holder whose full name is Childs, Brian Geoffrey,come from ELKHART IN,hold the CSR-Dentist license(NO.12009749B) which status is Expired.
| Name | Childs, Brian Geoffrey |
|---|---|
| License Number | 12009749B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | ELKHART |
| State | IN |