The holder whose full name is Parnell, Jerry Lee,come from Columbia City IN,hold the CSR-Dentist license(NO.12006323B) which status is Expired.
| Name | Parnell, Jerry Lee |
|---|---|
| License Number | 12006323B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Columbia City |
| State | IN |