The holder whose full name is Barksdale, Gary Trent,come from COLUMBUS IN,hold the CSR-Dentist license(NO.12006079B) which status is Expired.
| Name | Barksdale, Gary Trent |
|---|---|
| License Number | 12006079B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | COLUMBUS |
| State | IN |