The holder whose full name is KIPPLE, EUGENE ROBERT,come from TERRE HAUTE IN,hold the Dentist license(NO.12004617A) which status is Expired.
| Name | KIPPLE, EUGENE ROBERT |
|---|---|
| License Number | 12004617A |
| License Type | Dentist |
| License Status | Expired |
| City | TERRE HAUTE |
| State | IN |