The holder whose full name is Fantuzzo, Donald A.,come from Kokomo IN,hold the CSR-Dentist license(NO.12010681B) which status is Active.
| Name | Fantuzzo, Donald A. |
|---|---|
| License Number | 12010681B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Kokomo |
| State | IN |