The holder whose full name is Popovich, James,come from CROWN POINT IN,hold the CSR-Dentist license(NO.12006634B) which status is Active.
| Name | Popovich, James |
|---|---|
| License Number | 12006634B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | CROWN POINT |
| State | IN |