The holder whose full name is DEALE, HUGH SISSON,come from FRANKLIN IN,hold the CSR-Dentist license(NO.12004583B) which status is Expired.
| Name | DEALE, HUGH SISSON |
|---|---|
| License Number | 12004583B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | FRANKLIN |
| State | IN |