The holder whose full name is Disser, Louis W,come from SHELBYVILLE IN,hold the CSR-Dentist license(NO.12005107B) which status is Expired.
| Name | Disser, Louis W |
|---|---|
| License Number | 12005107B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | SHELBYVILLE |
| State | IN |