The holder whose full name is Spires, Joseph David,come from Bloomington IN,hold the CSR-Dentist license(NO.12010193B) which status is Active.
| Name | Spires, Joseph David |
|---|---|
| License Number | 12010193B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Bloomington |
| State | IN |