The holder whose full name is Mantinaos, John Constantinos,come from Gary IN,hold the CSR-Dentist license(NO.12011569B) which status is Active.
| Name | Mantinaos, John Constantinos |
|---|---|
| License Number | 12011569B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Gary |
| State | IN |