The holder whose full name is LINDBORG, DANIEL ROBERT,come from SOUTH BEND IN,hold the Dentist license(NO.12004430A) which status is Expired.
| Name | LINDBORG, DANIEL ROBERT |
|---|---|
| License Number | 12004430A |
| License Type | Dentist |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |