The holder whose full name is Withey, Oksana Petruniw,come from Indianapolis IN,hold the CSR-Dentist license(NO.12006843B) which status is Active.
| Name | Withey, Oksana Petruniw |
|---|---|
| License Number | 12006843B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Indianapolis |
| State | IN |