The holder whose full name is Braasch, Bryan D.,come from Fort Wayne IN,hold the CSR-Dentist license(NO.12012182B) which status is Active.
| Name | Braasch, Bryan D. |
|---|---|
| License Number | 12012182B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |