The holder whose full name is Jung, Clarence George,come from Clarksville IN,hold the CSR-Dentist license(NO.12010512B) which status is Active.
| Name | Jung, Clarence George |
|---|---|
| License Number | 12010512B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Clarksville |
| State | IN |