The holder whose full name is Al Yousef, Ehab Enad,come from Fort Wayne IN,hold the CSR-Dentist license(NO.12011935B) which status is Active.
| Name | Al Yousef, Ehab Enad |
|---|---|
| License Number | 12011935B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |