The holder whose full name is Wozniak, Virgil Michael,come from Portage IN,hold the Dentist license(NO.12007401A) which status is Expired.
| Name | Wozniak, Virgil Michael |
|---|---|
| License Number | 12007401A |
| License Type | Dentist |
| License Status | Expired |
| City | Portage |
| State | IN |