The holder whose full name is BRANT, BRIDANE WHITCOMB,come from KOKOMO IN,hold the CSR-Dentist license(NO.12004178B) which status is Expired.
| Name | BRANT, BRIDANE WHITCOMB |
|---|---|
| License Number | 12004178B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | KOKOMO |
| State | IN |