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