The holder whose full name is Lee, Dwight Buren,come from Lebanon IN,hold the CSR-Dentist license(NO.12009286B) which status is Active.
| Name | Lee, Dwight Buren |
|---|---|
| License Number | 12009286B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Lebanon |
| State | IN |