The holder whose full name is Martell, Michael Robert,come from INDIANAPOLIS IN,hold the CSR-Dentist license(NO.12008924C) which status is Expired.
| Name | Martell, Michael Robert |
|---|---|
| License Number | 12008924C |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |