The holder whose full name is Helfert, Donald Rae,come from Avon IN,hold the CSR-Dentist license(NO.12011530F) which status is Active.
| Name | Helfert, Donald Rae |
|---|---|
| License Number | 12011530F |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Avon |
| State | IN |