The holder whose full name is Vance, Michelle Rae,come from Granger IN,hold the CSR-Dentist license(NO.12010875B) which status is Expired.
| Name | Vance, Michelle Rae |
|---|---|
| License Number | 12010875B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Granger |
| State | IN |