The holder whose full name is GANNON JR, ROBERT DEAN,come from MONTICELLO IN,hold the Dentist license(NO.12004610A) which status is Expired.
Name | GANNON JR, ROBERT DEAN |
---|---|
License Number | 12004610A |
License Type | Dentist |
License Status | Expired |
City | MONTICELLO |
State | IN |