The holder whose full name is Hooper, Jack Raymond,come from Evansville IN,hold the CSR-Dentist license(NO.12005222B) which status is Expired.
| Name | Hooper, Jack Raymond |
|---|---|
| License Number | 12005222B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Evansville |
| State | IN |