The holder whose full name is CHILDES, GEORGE THOMAS,come from Bloomington IN,hold the Dentist - Light Parenteral Conscious Sedation license(NO.12005543A) which status is Expired.
| Name | CHILDES, GEORGE THOMAS |
|---|---|
| License Number | 12005543A |
| License Type | Dentist - Light Parenteral Conscious Sedation |
| License Status | Expired |
| City | Bloomington |
| State | IN |