The holder whose full name is GARRETT, DWIGHT ALLEN,come from HARTFORD CITY IN,hold the CSR-Dentist license(NO.12004612B) which status is Expired.
| Name | GARRETT, DWIGHT ALLEN |
|---|---|
| License Number | 12004612B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | HARTFORD CITY |
| State | IN |