The holder whose full name is STEPHENS, PAUL A,come from GARY IN,hold the Dentist license(NO.12004662A) which status is Inactive/Expired.
| Name | STEPHENS, PAUL A |
|---|---|
| License Number | 12004662A |
| License Type | Dentist |
| License Status | Inactive/Expired |
| City | GARY |
| State | IN |