The holder whose full name is WADE, CARROL LEE,come from NORTH VERNON IN,hold the CSR-Dentist license(NO.12005440B) which status is Expired.
| Name | WADE, CARROL LEE |
|---|---|
| License Number | 12005440B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | NORTH VERNON |
| State | IN |