The holder whose full name is Hurley, William Ellis,come from LAFAYETTE IN,hold the CSR-Dentist license(NO.12007196B) which status is Expired.
| Name | Hurley, William Ellis |
|---|---|
| License Number | 12007196B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |