The holder whose full name is Guzek, David Vernon,come from PORTAGE IN,hold the CSR-Dentist license(NO.12009122B) which status is Active.
| Name | Guzek, David Vernon |
|---|---|
| License Number | 12009122B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | PORTAGE |
| State | IN |