The holder whose full name is Jorczak, John Stephen,come from Lafayette IN,hold the CSR-Dentist license(NO.12009240B) which status is Active.
| Name | Jorczak, John Stephen |
|---|---|
| License Number | 12009240B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Lafayette |
| State | IN |