The holder whose full name is Carrier, David Dietrich,come from LAWRENCEBURG IN,hold the CSR-Dentist license(NO.12008892B) which status is Expired.
| Name | Carrier, David Dietrich |
|---|---|
| License Number | 12008892B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | LAWRENCEBURG |
| State | IN |