The holder whose full name is Fairchild, David Matthew,come from ELKHART IN,hold the CSR-Dentist license(NO.12007600C) which status is Expired.
| Name | Fairchild, David Matthew |
|---|---|
| License Number | 12007600C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | ELKHART |
| State | IN |