The holder whose full name is HUMPHREY, JAMES E,come from NORTH TERRE HAUTE IN,hold the CSR-Dentist license(NO.12005027B) which status is Expired.
Name | HUMPHREY, JAMES E |
---|---|
License Number | 12005027B |
License Type | CSR-Dentist |
License Status | Expired |
City | NORTH TERRE HAUTE |
State | IN |