The holder whose full name is Weber, Douglas W.,come from MICHIGAN CITY IN,hold the CSR-Dentist license(NO.12007707B) which status is Active.
| Name | Weber, Douglas W. |
|---|---|
| License Number | 12007707B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | MICHIGAN CITY |
| State | IN |