The holder whose full name is Farrell, Brandon Kent,come from Bloomington IN,hold the CSR-Dentist license(NO.12010150B) which status is Expired.
| Name | Farrell, Brandon Kent |
|---|---|
| License Number | 12010150B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Bloomington |
| State | IN |