The holder whose full name is Daniels, Allen Dale,come from Lawrenceburg IN,hold the CSR-Dentist license(NO.12011357B) which status is Active.
| Name | Daniels, Allen Dale |
|---|---|
| License Number | 12011357B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Lawrenceburg |
| State | IN |