The holder whose full name is Leickly, Brandon Fredrick,come from Anderson IN,hold the CSR-Dentist license(NO.12012027B) which status is Active.
| Name | Leickly, Brandon Fredrick |
|---|---|
| License Number | 12012027B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Anderson |
| State | IN |