The holder whose full name is Johnson, Colleen,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12009194C) which status is Expired.
| Name | Johnson, Colleen |
|---|---|
| License Number | 12009194C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |