The holder whose full name is Elias, James Roscoe,come from Corydon IN,hold the CSR-Dentist license(NO.12011053B) which status is Active.
| Name | Elias, James Roscoe |
|---|---|
| License Number | 12011053B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Corydon |
| State | IN |