The holder whose full name is Havlick, John Lawrence,come from VALPARAISO IN,hold the CSR-Dentist license(NO.12007779B) which status is Active.
| Name | Havlick, John Lawrence |
|---|---|
| License Number | 12007779B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | VALPARAISO |
| State | IN |