The holder whose full name is Jennings, Donald E.,come from Muncie IN,hold the CSR-Dentist license(NO.12005654B) which status is Expired.
| Name | Jennings, Donald E. |
|---|---|
| License Number | 12005654B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Muncie |
| State | IN |