The holder whose full name is Dellinger, Eric Lee,come from Angola IN,hold the CSR-Dentist license(NO.12009227B) which status is Active.
| Name | Dellinger, Eric Lee |
|---|---|
| License Number | 12009227B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Angola |
| State | IN |