The holder whose full name is Logan, Dane Kent,come from Lawrenceburg IN,hold the CSR-Dentist license(NO.12007715B) which status is Active.
| Name | Logan, Dane Kent |
|---|---|
| License Number | 12007715B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Lawrenceburg |
| State | IN |