The holder whose full name is Clore, Jerry Lynn,come from LIGONIER IN,hold the CSR-Dentist license(NO.12008848B) which status is Expired.
| Name | Clore, Jerry Lynn |
|---|---|
| License Number | 12008848B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | LIGONIER |
| State | IN |