The holder whose full name is Thompson, John Blake,come from Kendallville IN,hold the CSR-Dentist license(NO.12008827B) which status is Active.
| Name | Thompson, John Blake |
|---|---|
| License Number | 12008827B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Kendallville |
| State | IN |