The holder whose full name is FISHER, BENJAMIN JACOB,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12004140B) which status is Expired.
| Name | FISHER, BENJAMIN JACOB |
|---|---|
| License Number | 12004140B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |