The holder whose full name is White, Daniel Edward,come from SOUTH BEND IN,hold the CSR-Dentist license(NO.12007822B) which status is Active.
| Name | White, Daniel Edward |
|---|---|
| License Number | 12007822B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | SOUTH BEND |
| State | IN |