The holder whose full name is Prost, Michael Anthony,come from Peoria AZ,hold the Dentist license(NO.12010098A) which status is Inactive/Expired.
| Name | Prost, Michael Anthony |
|---|---|
| License Number | 12010098A |
| License Type | Dentist |
| License Status | Inactive/Expired |
| City | Peoria |
| State | AZ |