The holder whose full name is Gore, Jeffery Lee,come from RICHMOND IN,hold the CSR-Dentist license(NO.12009353B) which status is Active.
| Name | Gore, Jeffery Lee |
|---|---|
| License Number | 12009353B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | RICHMOND |
| State | IN |