The holder whose full name is Clark, David Bryce,come from Shelbyville IN,hold the CSR-Dentist license(NO.12008231B) which status is Active.
| Name | Clark, David Bryce |
|---|---|
| License Number | 12008231B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Shelbyville |
| State | IN |