The holder whose full name is Backmeyer, John Paul,come from Richmond IN,hold the CSR-Dentist license(NO.12006369B) which status is Active.
| Name | Backmeyer, John Paul |
|---|---|
| License Number | 12006369B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Richmond |
| State | IN |