The holder whose full name is Homrighausen, James K.,come from Madison IN,hold the CSR-Dentist license(NO.12010004D) which status is Expired.
| Name | Homrighausen, James K. |
|---|---|
| License Number | 12010004D |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Madison |
| State | IN |