The holder whose full name is PARKER, CLYDE WENDEL,come from EVANSVILLE IN,hold the CSR-Dentist license(NO.12004732B) which status is Expired.
| Name | PARKER, CLYDE WENDEL |
|---|---|
| License Number | 12004732B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | EVANSVILLE |
| State | IN |