The holder whose full name is LEY, EARL R,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12005729B) which status is Expired.
| Name | LEY, EARL R |
|---|---|
| License Number | 12005729B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |