The holder whose full name is Carter, Donna J.R.,come from FORT WAYNE IN,hold the CSR-Dentist license(NO.12009283B) which status is Expired.
| Name | Carter, Donna J.R. |
|---|---|
| License Number | 12009283B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |