The holder whose full name is BENEFIEL, DALE ALLEN,come from PRESCOTT AZ,hold the Dentist license(NO.12005890A) which status is Expired.
| Name | BENEFIEL, DALE ALLEN |
|---|---|
| License Number | 12005890A |
| License Type | Dentist |
| License Status | Expired |
| City | PRESCOTT |
| State | AZ |