The holder whose full name is STOUT, ELDRED WILLIAM,come from TIPTON IN,hold the Dentist license(NO.12004382A) which status is Expired.
| Name | STOUT, ELDRED WILLIAM |
|---|---|
| License Number | 12004382A |
| License Type | Dentist |
| License Status | Expired |
| City | TIPTON |
| State | IN |