The holder whose full name is SHIDELER, PETER LURTON,come from NORTH JUDSON IN,hold the Dentist license(NO.12005946A) which status is Expired.
Name | SHIDELER, PETER LURTON |
---|---|
License Number | 12005946A |
License Type | Dentist |
License Status | Expired |
City | NORTH JUDSON |
State | IN |