The holder whose full name is GEPHARDT, DAVID ANDREW,come from ANDERSON IN,hold the Dentist license(NO.12004690A) which status is Expired.
| Name | GEPHARDT, DAVID ANDREW |
|---|---|
| License Number | 12004690A |
| License Type | Dentist |
| License Status | Expired |
| City | ANDERSON |
| State | IN |