The holder whose full name is Smith, Frederic Warren,come from Pewee Valley KY,hold the Dentist license(NO.12011415A) which status is Expired.
| Name | Smith, Frederic Warren |
|---|---|
| License Number | 12011415A |
| License Type | Dentist |
| License Status | Expired |
| City | Pewee Valley |
| State | KY |