The holder whose full name is Wach, Kenneth Eugene,come from Clarksville IN,hold the CSR-Dentist license(NO.12011804B) which status is Active.
| Name | Wach, Kenneth Eugene |
|---|---|
| License Number | 12011804B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Clarksville |
| State | IN |