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