The holder whose full name is Behner, Elton Dale,come from Fishers IN,hold the CSR-Dentist license(NO.12008545B) which status is Active.
| Name | Behner, Elton Dale |
|---|---|
| License Number | 12008545B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Fishers |
| State | IN |