The holder whose full name is Hershey, J Alan,come from Lafayette IN,hold the CSR-Dentist license(NO.12011494B) which status is Expired.
| Name | Hershey, J Alan |
|---|---|
| License Number | 12011494B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Lafayette |
| State | IN |