The holder whose full name is Farrell, Annamae Allen,come from Indianapolis IN,hold the CSR-Dentist license(NO.12010380B) which status is Active.
| Name | Farrell, Annamae Allen |
|---|---|
| License Number | 12010380B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Indianapolis |
| State | IN |