The holder whose full name is FRISSELL, CHARLES THOMAS,come from FREMONT IN,hold the Dentist license(NO.12004870A) which status is Expired.
| Name | FRISSELL, CHARLES THOMAS |
|---|---|
| License Number | 12004870A |
| License Type | Dentist |
| License Status | Expired |
| City | FREMONT |
| State | IN |