The holder whose full name is Boyd, Logan Ballard,come from Vincennes IN,hold the CSR-Dentist license(NO.12006180B) which status is Expired.
| Name | Boyd, Logan Ballard |
|---|---|
| License Number | 12006180B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Vincennes |
| State | IN |