The holder whose full name is Farrer, Ann Marie,come from BLOOMINGTON IN,hold the CSR-Dentist license(NO.12009231B) which status is Expired.
| Name | Farrer, Ann Marie |
|---|---|
| License Number | 12009231B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | BLOOMINGTON |
| State | IN |