The holder whose full name is Mohr, Beth Park,come from West Lafayette IN,hold the CSR-Dentist license(NO.12010180B) which status is Active.
| Name | Mohr, Beth Park |
|---|---|
| License Number | 12010180B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | West Lafayette |
| State | IN |