The holder whose full name is Brown, Desmon Antonio,come from Michigan City IN,hold the CSR-Dentist license(NO.12011641E) which status is Active.
| Name | Brown, Desmon Antonio |
|---|---|
| License Number | 12011641E |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Michigan City |
| State | IN |