The holder whose full name is STAMPER, WILLARD CONKLING,come from BRADENTON FL,hold the Dentist license(NO.12004159A) which status is Expired.
| Name | STAMPER, WILLARD CONKLING |
|---|---|
| License Number | 12004159A |
| License Type | Dentist |
| License Status | Expired |
| City | BRADENTON |
| State | FL |