The holder whose full name is BURGESS, WILLIAM LEE,come from LEBANON IN,hold the CSR-Dentist license(NO.12005539B) which status is Expired.
| Name | BURGESS, WILLIAM LEE |
|---|---|
| License Number | 12005539B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | LEBANON |
| State | IN |