The holder whose full name is Newbern, Jefferson Lamar,come from Clarksville IN,hold the CSR-Dentist license(NO.12011559B) which status is Expired.
| Name | Newbern, Jefferson Lamar |
|---|---|
| License Number | 12011559B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Clarksville |
| State | IN |