The holder whose full name is SMITH, THURMAN LEWIS,come from FRANKFORT IN,hold the CSR-Dentist license(NO.12004090B) which status is Expired.
| Name | SMITH, THURMAN LEWIS |
|---|---|
| License Number | 12004090B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | FRANKFORT |
| State | IN |