The holder whose full name is Kostidis, Faye Marie,come from Crown Point IN,hold the Dentist license(NO.12010629A) which status is Active.
| Name | Kostidis, Faye Marie |
|---|---|
| License Number | 12010629A |
| License Type | Dentist |
| License Status | Active |
| City | Crown Point |
| State | IN |