The holder whose full name is Smith, Brian Charles,come from FRANKFORT IN,hold the CSR-Dentist license(NO.12008331B) which status is Expired.
| Name | Smith, Brian Charles |
|---|---|
| License Number | 12008331B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | FRANKFORT |
| State | IN |