The holder whose full name is PRICE, BYRON EVAN,come from TERRE HAUTE IN,hold the CSR-Dentist license(NO.12004349B) which status is Expired.
| Name | PRICE, BYRON EVAN |
|---|---|
| License Number | 12004349B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | TERRE HAUTE |
| State | IN |