The holder whose full name is DIRLAM, JAMES HORACE,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12004826B) which status is Expired.
| Name | DIRLAM, JAMES HORACE |
|---|---|
| License Number | 12004826B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |