The holder whose full name is Rothrock, Gavin Charles,come from Bloomington IN,hold the CSR-Dentist license(NO.12010759B) which status is Active.
| Name | Rothrock, Gavin Charles |
|---|---|
| License Number | 12010759B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Bloomington |
| State | IN |