The holder whose full name is Porter, David Lloyd,come from La Porte IN,hold the CSR-Dentist license(NO.12007814B) which status is Active.
| Name | Porter, David Lloyd |
|---|---|
| License Number | 12007814B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | La Porte |
| State | IN |