The holder whose full name is Skirvin, Michael Lee,come from Indianapolis IN,hold the CSR-Dentist license(NO.12011768B) which status is Active.
| Name | Skirvin, Michael Lee |
|---|---|
| License Number | 12011768B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Indianapolis |
| State | IN |