The holder whose full name is Urschel, Lewis James,come from WEST LAFAYETTE IN,hold the CSR-Dentist license(NO.12005587B) which status is Expired.
| Name | Urschel, Lewis James |
|---|---|
| License Number | 12005587B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | WEST LAFAYETTE |
| State | IN |