The holder whose full name is PORTOLESE, FRANK ANTHONY,come from MISHAWAKA IN,hold the Dentist license(NO.12005576A) which status is Expired.
| Name | PORTOLESE, FRANK ANTHONY |
|---|---|
| License Number | 12005576A |
| License Type | Dentist |
| License Status | Expired |
| City | MISHAWAKA |
| State | IN |