The holder whose full name is Eriks, Douglas Allen,come from Frankfort IN,hold the CSR-Dentist license(NO.12010984B) which status is Active.
| Name | Eriks, Douglas Allen |
|---|---|
| License Number | 12010984B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Frankfort |
| State | IN |