The holder whose full name is Wright, Frederick Virgil,come from Jeffersonville IN,hold the CSR-Dentist license(NO.12010941B) which status is Active.
| Name | Wright, Frederick Virgil |
|---|---|
| License Number | 12010941B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Jeffersonville |
| State | IN |