The holder whose full name is David Kubek, Ana Kristina,come from Terre Haute IN,hold the CSR-Dentist license(NO.12011321B) which status is Expired.
| Name | David Kubek, Ana Kristina |
|---|---|
| License Number | 12011321B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Terre Haute |
| State | IN |