The holder whose full name is SMITH, CLARENCE JED,come from Evansville IN,hold the CSR-Dentist license(NO.12004941B) which status is Expired.
| Name | SMITH, CLARENCE JED |
|---|---|
| License Number | 12004941B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Evansville |
| State | IN |