The holder whose full name is ASH, JACOB LOUIS,come from BOONVILLE IN,hold the CSR-Dentist license(NO.12007133B) which status is Expired.
| Name | ASH, JACOB LOUIS |
|---|---|
| License Number | 12007133B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | BOONVILLE |
| State | IN |