The holder whose full name is Hertig, Adam Richard,come from Ossian IN,hold the CSR-Dentist license(NO.12011943C) which status is Active.
| Name | Hertig, Adam Richard |
|---|---|
| License Number | 12011943C |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Ossian |
| State | IN |