The holder whose full name is BENNETT, CHARLES R,come from NEW ALBANY IN,hold the Dentist license(NO.12004990A) which status is Expired.
| Name | BENNETT, CHARLES R |
|---|---|
| License Number | 12004990A |
| License Type | Dentist |
| License Status | Expired |
| City | NEW ALBANY |
| State | IN |