The holder whose full name is SMITH, MAURICE G,come from TIPTON IN,hold the CSR-Dentist license(NO.12005061B) which status is Expired.
| Name | SMITH, MAURICE G |
|---|---|
| License Number | 12005061B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | TIPTON |
| State | IN |