The holder whose full name is Shirts, David Russell,come from Evansville IN,hold the Dental Hygienist license(NO.13004976A) which status is Expired.
| Name | Shirts, David Russell |
|---|---|
| License Number | 13004976A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Evansville |
| State | IN |