The holder whose full name is GENTRY, JILL JONES,come from LOGANSPORT IN,hold the CSR-Dentist license(NO.12008401B) which status is Expired.
| Name | GENTRY, JILL JONES |
|---|---|
| License Number | 12008401B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | LOGANSPORT |
| State | IN |