The holder whose full name is Bewick, Keary Allen,come from LAKE STATION IN,hold the CSR-Dentist license(NO.12008247B) which status is Active.
| Name | Bewick, Keary Allen |
|---|---|
| License Number | 12008247B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | LAKE STATION |
| State | IN |