The holder whose full name is Modrowski, Brian C.,come from CARMEL IN,hold the CSR-Dentist license(NO.12010173B) which status is Expired.
| Name | Modrowski, Brian C. |
|---|---|
| License Number | 12010173B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | CARMEL |
| State | IN |