The holder whose full name is JOHNSON, DONALD WAYNE,come from CARMEL IN,hold the Dentist license(NO.12005410A) which status is Expired.
| Name | JOHNSON, DONALD WAYNE |
|---|---|
| License Number | 12005410A |
| License Type | Dentist |
| License Status | Expired |
| City | CARMEL |
| State | IN |