The holder whose full name is Wilson, Clyde Wendell,come from EVANSVILLE IN,hold the CSR-Dentist license(NO.12010127B) which status is Expired.
| Name | Wilson, Clyde Wendell |
|---|---|
| License Number | 12010127B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | EVANSVILLE |
| State | IN |