The holder whose full name is Beck, Russell Lamar,come from MICHIGAN CITY IN,hold the Dentist license(NO.12003361A) which status is Expired.
| Name | Beck, Russell Lamar |
|---|---|
| License Number | 12003361A |
| License Type | Dentist |
| License Status | Expired |
| City | MICHIGAN CITY |
| State | IN |