The holder whose full name is EICHENBERGER JR, EDWARD,come from WAKARUSA IN,hold the Dentist license(NO.12005083A) which status is Expired.
| Name | EICHENBERGER JR, EDWARD |
|---|---|
| License Number | 12005083A |
| License Type | Dentist |
| License Status | Expired |
| City | WAKARUSA |
| State | IN |