The holder whose full name is Pleak, Dale Donald,come from Greenfield IN,hold the CSR-Dentist license(NO.12007053B) which status is Active.
| Name | Pleak, Dale Donald |
|---|---|
| License Number | 12007053B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Greenfield |
| State | IN |