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