The holder whose full name is Garcia, Derek L.,come from Corydon IN,hold the CSR-Dentist license(NO.12011969B) which status is Active.
| Name | Garcia, Derek L. |
|---|---|
| License Number | 12011969B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Corydon |
| State | IN |