The holder whose full name is Fermback, Lena Birgitta,come from Warsaw IN,hold the Dentist license(NO.12008691A) which status is Active.
| Name | Fermback, Lena Birgitta |
|---|---|
| License Number | 12008691A |
| License Type | Dentist |
| License Status | Active |
| City | Warsaw |
| State | IN |