The holder whose full name is Slapnicka, Jan,come from Plainfield IN,hold the CSR-Dentist license(NO.12011702P) which status is Active.
| Name | Slapnicka, Jan |
|---|---|
| License Number | 12011702P |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Plainfield |
| State | IN |