The holder whose full name is Balsbaugh, Alyssa Brooke,come from Indianapolis IN,hold the CSR-Dentist license(NO.12011826B) which status is Active.
| Name | Balsbaugh, Alyssa Brooke |
|---|---|
| License Number | 12011826B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Indianapolis |
| State | IN |