The holder whose full name is Kostidis, Faye Marie,come from Griffith IN,hold the CSR-Dentist license(NO.12010629B) which status is Active.
| Name | Kostidis, Faye Marie |
|---|---|
| License Number | 12010629B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Griffith |
| State | IN |