The holder whose full name is Fiscus, Clifford Wilson,come from FORT WAYNE IN,hold the CSR-Dentist license(NO.12010106B) which status is Expired.
| Name | Fiscus, Clifford Wilson |
|---|---|
| License Number | 12010106B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |