The holder whose full name is Carlson, Cristene A.,come from FORT WAYNE IN,hold the CSR-Dentist license(NO.12008271B) which status is Expired.
| Name | Carlson, Cristene A. |
|---|---|
| License Number | 12008271B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |