The holder whose full name is Harty, Douglas,come from Greenwood IN,hold the CSR-Dentist license(NO.12008501B) which status is Active.
| Name | Harty, Douglas |
|---|---|
| License Number | 12008501B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Greenwood |
| State | IN |