The holder whose full name is Miller, Jeffrey Scott,come from La Porte IN,hold the CSR-Dentist license(NO.12008809B) which status is Active.
| Name | Miller, Jeffrey Scott |
|---|---|
| License Number | 12008809B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | La Porte |
| State | IN |