The holder whose full name is Fickas, Frank David,come from Newburgh IN,hold the CSR-Dentist license(NO.12012011B) which status is Active.
| Name | Fickas, Frank David |
|---|---|
| License Number | 12012011B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Newburgh |
| State | IN |