The holder whose full name is Jancosek, George Thomas,come from Whiting IN,hold the Dentist license(NO.12005409A) which status is Expired.
| Name | Jancosek, George Thomas |
|---|---|
| License Number | 12005409A |
| License Type | Dentist |
| License Status | Expired |
| City | Whiting |
| State | IN |