The holder whose full name is Willis, James W.,come from Lawrenceburg IN,hold the CSR-Dentist license(NO.12007538B) which status is Expired.
| Name | Willis, James W. |
|---|---|
| License Number | 12007538B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Lawrenceburg |
| State | IN |