The holder whose full name is Rothhaar, Raymond,come from Muncie IN,hold the Dentist - Light Parenteral Conscious Sedation license(NO.12005054A) which status is Expired.
| Name | Rothhaar, Raymond |
|---|---|
| License Number | 12005054A |
| License Type | Dentist - Light Parenteral Conscious Sedation |
| License Status | Expired |
| City | Muncie |
| State | IN |