The holder whose full name is Walter, John Charles,come from SEYMOUR IN,hold the CSR-Dentist license(NO.12008280B) which status is Active.
| Name | Walter, John Charles |
|---|---|
| License Number | 12008280B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | SEYMOUR |
| State | IN |