The holder whose full name is Lopp, Clarence,come from BROOKSTON IN,hold the CSR-Dentist license(NO.12007630B) which status is Active.
| Name | Lopp, Clarence |
|---|---|
| License Number | 12007630B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | BROOKSTON |
| State | IN |