The holder whose full name is FRISSELL, CHARLES THOMAS,come from ANGOLA IN,hold the CSR-Dentist license(NO.12004870C) which status is Expired.
| Name | FRISSELL, CHARLES THOMAS |
|---|---|
| License Number | 12004870C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | ANGOLA |
| State | IN |