The holder whose full name is Pence, Ben Bolling,come from Columbus IN,hold the CSR-Dentist license(NO.12005518B) which status is Expired.
| Name | Pence, Ben Bolling |
|---|---|
| License Number | 12005518B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Columbus |
| State | IN |