The holder whose full name is SHIDELER, WILLIAM RUSSELL,come from VALPARAISO IN,hold the Dentist license(NO.12005254A) which status is Expired.
Name | SHIDELER, WILLIAM RUSSELL |
---|---|
License Number | 12005254A |
License Type | Dentist |
License Status | Expired |
City | VALPARAISO |
State | IN |