The holder whose full name is Bachmann, Kimberly J.,come from Brazil IN,hold the Dentist license(NO.12010600A) which status is Probation.
| Name | Bachmann, Kimberly J. |
|---|---|
| License Number | 12010600A |
| License Type | Dentist |
| License Status | Probation |
| City | Brazil |
| State | IN |