The holder whose full name is Pasicznyk, John M.,come from Indianapolis IN,hold the CSR-Dentist license(NO.12011425B) which status is Active.
| Name | Pasicznyk, John M. |
|---|---|
| License Number | 12011425B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Indianapolis |
| State | IN |