The holder whose full name is Bassett, Jeffrey Lynn,come from Lagrange IN,hold the CSR-Dentist license(NO.12008295B) which status is Active.
| Name | Bassett, Jeffrey Lynn |
|---|---|
| License Number | 12008295B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Lagrange |
| State | IN |