The holder whose full name is Ford, Bret Mitchell,come from Chandler AZ,hold the Dentist license(NO.12009861A) which status is Expired.
| Name | Ford, Bret Mitchell |
|---|---|
| License Number | 12009861A |
| License Type | Dentist |
| License Status | Expired |
| City | Chandler |
| State | AZ |