The holder whose full name is Brilliandt, David Michael,come from Middlebury IN,hold the Dentist license(NO.12008553A) which status is Active.
| Name | Brilliandt, David Michael |
|---|---|
| License Number | 12008553A |
| License Type | Dentist |
| License Status | Active |
| City | Middlebury |
| State | IN |