The holder whose full name is DEFRANK, ALBERT,come from HAGERSTOWN IN,hold the CSR-Dentist license(NO.12004779B) which status is Expired.
| Name | DEFRANK, ALBERT |
|---|---|
| License Number | 12004779B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | HAGERSTOWN |
| State | IN |