The holder whose full name is Fouts, James Alvin,come from SEYMOUR IN,hold the CSR-Dentist license(NO.12006938B) which status is Expired.
| Name | Fouts, James Alvin |
|---|---|
| License Number | 12006938B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | SEYMOUR |
| State | IN |