The holder whose full name is Walerko, Frank Michael,come from Portage IN,hold the CSR-Dentist license(NO.12008158B) which status is Active.
| Name | Walerko, Frank Michael |
|---|---|
| License Number | 12008158B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Portage |
| State | IN |