The holder whose full name is BOREN SR, WILBUR C,come from PRINCETON IN,hold the CSR-Dentist license(NO.12004221B) which status is Expired.
| Name | BOREN SR, WILBUR C |
|---|---|
| License Number | 12004221B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | PRINCETON |
| State | IN |