The holder whose full name is Dean, Clarence A.,come from Greenwood IN,hold the CSR-Dentist license(NO.12007193B) which status is Active.
| Name | Dean, Clarence A. |
|---|---|
| License Number | 12007193B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Greenwood |
| State | IN |