The holder whose full name is Boren, Wilber Clarence,come from Bristol IN,hold the Dentist license(NO.12006376A) which status is Suspended.
| Name | Boren, Wilber Clarence |
|---|---|
| License Number | 12006376A |
| License Type | Dentist |
| License Status | Suspended |
| City | Bristol |
| State | IN |