The holder whose full name is Gonzenbach, Gary Karl,come from Columbus IN,hold the CSR-Dentist license(NO.12007240B) which status is Active.
| Name | Gonzenbach, Gary Karl |
|---|---|
| License Number | 12007240B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Columbus |
| State | IN |