The holder whose full name is Barton, Douglas H.,come from South Bend IN,hold the CSR-Dentist license(NO.12006573C) which status is Active.
| Name | Barton, Douglas H. |
|---|---|
| License Number | 12006573C |
| License Type | CSR-Dentist |
| License Status | Active |
| City | South Bend |
| State | IN |