The holder whose full name is Carlson, Cristene A.,come from Fort Wayne IN,hold the Dentist license(NO.12008271A) which status is Expired.
| Name | Carlson, Cristene A. |
|---|---|
| License Number | 12008271A |
| License Type | Dentist |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |