The holder whose full name is Fryar, Brian Clinton,come from La Porte IN,hold the CSR-Dentist license(NO.12008697B) which status is Expired.
| Name | Fryar, Brian Clinton |
|---|---|
| License Number | 12008697B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | La Porte |
| State | IN |