The holder whose full name is Hillis, Paul David,come from Logansport IN,hold the CSR-Dentist license(NO.12006902B) which status is Active.
| Name | Hillis, Paul David |
|---|---|
| License Number | 12006902B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Logansport |
| State | IN |