The holder whose full name is BAILEY, LEWIS RUSH,come from INDIANAPOLIS IN,hold the Dentist license(NO.12004010A) which status is Expired.
| Name | BAILEY, LEWIS RUSH |
|---|---|
| License Number | 12004010A |
| License Type | Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |