The holder whose full name is Fassel, John Dean,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12007986B) which status is Expired.
| Name | Fassel, John Dean |
|---|---|
| License Number | 12007986B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |