The holder whose full name is Laco, Edward Peter,come from Crown Point IN,hold the CSR-Dentist license(NO.12010361B) which status is Active.
| Name | Laco, Edward Peter |
|---|---|
| License Number | 12010361B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Crown Point |
| State | IN |