The holder whose full name is HARGIS, WALTER SCOTT,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12004914B) which status is Expired.
| Name | HARGIS, WALTER SCOTT |
|---|---|
| License Number | 12004914B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |