The holder whose full name is KIELBASA, CLEMENT A,come from EAST CHICAGO IN,hold the Dentist license(NO.12004046A) which status is Expired.
| Name | KIELBASA, CLEMENT A |
|---|---|
| License Number | 12004046A |
| License Type | Dentist |
| License Status | Expired |
| City | EAST CHICAGO |
| State | IN |