The holder whose full name is CANTRELL, FREDERICK A,come from Crawfordsville IN,hold the CSR-Dentist license(NO.12004821B) which status is Expired.
| Name | CANTRELL, FREDERICK A |
|---|---|
| License Number | 12004821B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Crawfordsville |
| State | IN |