The holder whose full name is Humphrey, James Metz,come from Terre Haute IN,hold the CSR-Dentist license(NO.12009022B) which status is Active.
| Name | Humphrey, James Metz |
|---|---|
| License Number | 12009022B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Terre Haute |
| State | IN |