The holder whose full name is MINNIEAR, EDWARD ORRIN,come from LAFAYETTE IN,hold the Dentist license(NO.12004724A) which status is Expired.
| Name | MINNIEAR, EDWARD ORRIN |
|---|---|
| License Number | 12004724A |
| License Type | Dentist |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |