The holder whose full name is Korn, Bradford Henry,come from Fort Wayne IN,hold the CSR-Dentist license(NO.12007256B) which status is Active.
| Name | Korn, Bradford Henry |
|---|---|
| License Number | 12007256B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |