The holder whose full name is Fleitz, Derek Raymond,come from Sunnyside FL,hold the Dentist license(NO.12009754A) which status is Inactive/Expired.
| Name | Fleitz, Derek Raymond |
|---|---|
| License Number | 12009754A |
| License Type | Dentist |
| License Status | Inactive/Expired |
| City | Sunnyside |
| State | FL |