The holder whose full name is Goodpaster, James Jay,come from Bloomington IN,hold the CSR-Dentist license(NO.12011590B) which status is Active.
| Name | Goodpaster, James Jay |
|---|---|
| License Number | 12011590B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Bloomington |
| State | IN |