The holder whose full name is SIPPLE, KERMIT WILLIAM,come from CLAY CITY IN,hold the Dentist license(NO.12003831A) which status is Expired.
| Name | SIPPLE, KERMIT WILLIAM |
|---|---|
| License Number | 12003831A |
| License Type | Dentist |
| License Status | Expired |
| City | CLAY CITY |
| State | IN |