The holder whose full name is VIECK, CHARLES C,come from VINCENNES IN,hold the CSR-Dentist license(NO.12005678B) which status is Active.
| Name | VIECK, CHARLES C |
|---|---|
| License Number | 12005678B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | VINCENNES |
| State | IN |