The holder whose full name is WESLEY, CHARLES RUDOLPH,come from GARY IN,hold the Dentist license(NO.12005605A) which status is Expired.
| Name | WESLEY, CHARLES RUDOLPH |
|---|---|
| License Number | 12005605A |
| License Type | Dentist |
| License Status | Expired |
| City | GARY |
| State | IN |