The holder whose full name is BOLLINGER, GLENN ROBERT,come from KOKOMO IN,hold the Dentist license(NO.12004604A) which status is Expired.
| Name | BOLLINGER, GLENN ROBERT |
|---|---|
| License Number | 12004604A |
| License Type | Dentist |
| License Status | Expired |
| City | KOKOMO |
| State | IN |