The holder whose full name is Brinegar, Daniel Joel,come from Jeffersonville IN,hold the CSR-Dentist license(NO.12010574B) which status is Active.
| Name | Brinegar, Daniel Joel |
|---|---|
| License Number | 12010574B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Jeffersonville |
| State | IN |