The holder whose full name is Sorenson, Dale Anthony,come from NEWBURGH IN,hold the CSR-Dentist license(NO.12008038B) which status is Active.
| Name | Sorenson, Dale Anthony |
|---|---|
| License Number | 12008038B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | NEWBURGH |
| State | IN |