The holder whose full name is Willits, David Allen,come from BLUFFTON IN,hold the CSR-Dentist license(NO.12006247B) which status is Expired.
| Name | Willits, David Allen |
|---|---|
| License Number | 12006247B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | BLUFFTON |
| State | IN |