The holder whose full name is Faulk, Dan Eugene,come from Indianapolis IN,hold the CSR-Dentist license(NO.12008292B) which status is Expired.
| Name | Faulk, Dan Eugene |
|---|---|
| License Number | 12008292B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Indianapolis |
| State | IN |