The holder whose full name is LOWRY, CHARLES HAVEN,come from LOGANSPORT IN,hold the Dentist license(NO.12004564A) which status is Expired.
| Name | LOWRY, CHARLES HAVEN |
|---|---|
| License Number | 12004564A |
| License Type | Dentist |
| License Status | Expired |
| City | LOGANSPORT |
| State | IN |