The holder whose full name is Holder, James Leroy,come from Fort Branch IN,hold the CSR-Dentist license(NO.12005119B) which status is Expired.
| Name | Holder, James Leroy |
|---|---|
| License Number | 12005119B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Fort Branch |
| State | IN |