The holder whose full name is Laconi, Bradley Paul,come from Fortville IN,hold the CSR-Dentist license(NO.12008802C) which status is Active.
| Name | Laconi, Bradley Paul |
|---|---|
| License Number | 12008802C |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Fortville |
| State | IN |