The holder whose full name is Ullom, Virgil Walter,come from Babson Park FL,hold the Dentist license(NO.12006810A) which status is Expired.
| Name | Ullom, Virgil Walter |
|---|---|
| License Number | 12006810A |
| License Type | Dentist |
| License Status | Expired |
| City | Babson Park |
| State | FL |