The holder whose full name is Smith, Walter Torrence,come from CROWN POINT IN,hold the CSR-Dentist license(NO.12006168B) which status is Expired.
| Name | Smith, Walter Torrence |
|---|---|
| License Number | 12006168B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | CROWN POINT |
| State | IN |