The holder whose full name is McGuire, Jimmie Lee,come from BLOOMINGTON IN,hold the CSR-Dentist license(NO.12006213B) which status is Expired.
| Name | McGuire, Jimmie Lee |
|---|---|
| License Number | 12006213B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | BLOOMINGTON |
| State | IN |