The holder whose full name is Durell, David K.,come from Plainfield IN,hold the CSR-Dentist license(NO.12009347B) which status is Active.
| Name | Durell, David K. |
|---|---|
| License Number | 12009347B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Plainfield |
| State | IN |