The holder whose full name is FILLMORE, FREDERICK HILL,come from WEST LAFAYETTE IN,hold the Dentist license(NO.12005399A) which status is Expired.
| Name | FILLMORE, FREDERICK HILL |
|---|---|
| License Number | 12005399A |
| License Type | Dentist |
| License Status | Expired |
| City | WEST LAFAYETTE |
| State | IN |