The holder whose full name is Avery, David R.,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12006277B) which status is Expired.
| Name | Avery, David R. |
|---|---|
| License Number | 12006277B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |