The holder whose full name is FLORA, KENNETY LA COUNT,come from DYER IN,hold the Dentist license(NO.12003488A) which status is Expired.
| Name | FLORA, KENNETY LA COUNT |
|---|---|
| License Number | 12003488A |
| License Type | Dentist |
| License Status | Expired |
| City | DYER |
| State | IN |