The holder whose full name is Applegate, Gregory Gene,come from Muncie IN,hold the CSR-Dentist license(NO.12009616B) which status is Active.
| Name | Applegate, Gregory Gene |
|---|---|
| License Number | 12009616B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Muncie |
| State | IN |