The holder whose full name is Nichols, John Lee,come from TERRE HAUTE IN,hold the CSR-Dentist license(NO.12005932B) which status is Active.
| Name | Nichols, John Lee |
|---|---|
| License Number | 12005932B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | TERRE HAUTE |
| State | IN |