The holder whose full name is Simmerman, Farrell Layne,come from Lafayette IN,hold the CSR-Dentist license(NO.12008145B) which status is Active.
| Name | Simmerman, Farrell Layne |
|---|---|
| License Number | 12008145B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Lafayette |
| State | IN |