The holder whose full name is O'Daniel, Delores M.,come from Jeffersonville IN,hold the CSR-Dentist license(NO.12010483B) which status is Expired.
| Name | O'Daniel, Delores M. |
|---|---|
| License Number | 12010483B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Jeffersonville |
| State | IN |