The holder whose full name is BIRMINGHAM, RICHARD J,come from SOUTH BEND IN,hold the Dentist license(NO.12005521A) which status is Expired.
| Name | BIRMINGHAM, RICHARD J |
|---|---|
| License Number | 12005521A |
| License Type | Dentist |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |