The holder whose full name is Liewehr, Frederick Russell,come from Carmel IN,hold the CSR-Dentist license(NO.12010475B) which status is Expired.
| Name | Liewehr, Frederick Russell |
|---|---|
| License Number | 12010475B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Carmel |
| State | IN |