The holder whose full name is Bates, Robert S.,come from Clarence NY,hold the Dentist license(NO.12010806A) which status is Voluntary Surrender.
| Name | Bates, Robert S. |
|---|---|
| License Number | 12010806A |
| License Type | Dentist |
| License Status | Voluntary Surrender |
| City | Clarence |
| State | NY |