The holder whose full name is Bade, Daniel Michael,come from Saint John IN,hold the CSR-Dentist license(NO.12007569B) which status is Active.
| Name | Bade, Daniel Michael |
|---|---|
| License Number | 12007569B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Saint John |
| State | IN |