The holder whose full name is FORD, JAMES ALLEN,come from WHITING IN,hold the CSR-Dentist license(NO.12005900B) which status is Expired.
| Name | FORD, JAMES ALLEN |
|---|---|
| License Number | 12005900B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | WHITING |
| State | IN |