The holder whose full name is Salk, Clifford T.,come from Fort Wayne IN,hold the CSR-Dentist license(NO.12006043C) which status is Active.
| Name | Salk, Clifford T. |
|---|---|
| License Number | 12006043C |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |