The holder whose full name is Thalls, Jeffrey Charles,come from HAGERSTOWN IN,hold the CSR-Dentist license(NO.12009192B) which status is Expired.
| Name | Thalls, Jeffrey Charles |
|---|---|
| License Number | 12009192B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | HAGERSTOWN |
| State | IN |