The holder whose full name is Harris, Bradley Andrew,come from Wabash IN,hold the CSR-Dentist license(NO.12011711C) which status is Active.
| Name | Harris, Bradley Andrew |
|---|---|
| License Number | 12011711C |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Wabash |
| State | IN |