The holder whose full name is Wellenreiter, Darren Wade,come from Fishers IN,hold the CSR-Dentist license(NO.12009628B) which status is Expired.
| Name | Wellenreiter, Darren Wade |
|---|---|
| License Number | 12009628B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Fishers |
| State | IN |