The holder whose full name is VORHIES, JACK MCKIM,come from GREENWOOD IN,hold the CSR-Dentist license(NO.12004860B) which status is Expired.
| Name | VORHIES, JACK MCKIM |
|---|---|
| License Number | 12004860B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | GREENWOOD |
| State | IN |