The holder whose full name is Wells, Anita A.,come from PLAINFIELD IN,hold the CSR-Dentist license(NO.12009275B) which status is Expired.
| Name | Wells, Anita A. |
|---|---|
| License Number | 12009275B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | PLAINFIELD |
| State | IN |