The holder whose full name is Pippenger, Gary Ray,come from PLYMOUTH IN,hold the CSR-Dentist license(NO.12006740C) which status is Expired.
| Name | Pippenger, Gary Ray |
|---|---|
| License Number | 12006740C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | PLYMOUTH |
| State | IN |