The holder whose full name is PAVACIK, LEONARD PETER,come from SOUTH BEND IN,hold the Dentist license(NO.12005602A) which status is Expired.
| Name | PAVACIK, LEONARD PETER |
|---|---|
| License Number | 12005602A |
| License Type | Dentist |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |