The holder whose full name is FRITZ, EDWARD LANE,come from EVANSVILLE IN,hold the CSR-Dentist license(NO.12005485B) which status is Expired.
| Name | FRITZ, EDWARD LANE |
|---|---|
| License Number | 12005485B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | EVANSVILLE |
| State | IN |