The holder whose full name is ANSHUTZ JR, WADE BUSH,come from TERRE HAUTE IN,hold the Dentist license(NO.12004635A) which status is Expired.
| Name | ANSHUTZ JR, WADE BUSH |
|---|---|
| License Number | 12004635A |
| License Type | Dentist |
| License Status | Expired |
| City | TERRE HAUTE |
| State | IN |