The holder whose full name is BAKER, JAMES LEROY,come from WARSAW IN,hold the CSR-Dentist license(NO.12004504B) which status is Expired.
| Name | BAKER, JAMES LEROY |
|---|---|
| License Number | 12004504B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | WARSAW |
| State | IN |