The holder whose full name is Melloh, Ardis Conrad,come from Indianapolis IN,hold the CSR-Dentist license(NO.12006125B) which status is Active.
| Name | Melloh, Ardis Conrad |
|---|---|
| License Number | 12006125B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Indianapolis |
| State | IN |