The holder whose full name is Bass, Jamie Lynn,come from Newburgh IN,hold the CSR-Dentist license(NO.12011407B) which status is Expired.
| Name | Bass, Jamie Lynn |
|---|---|
| License Number | 12011407B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Newburgh |
| State | IN |