The holder whose full name is Alter, Leila Anne,come from Bedford IN,hold the CSR-Dentist license(NO.12009998B) which status is Active.
| Name | Alter, Leila Anne |
|---|---|
| License Number | 12009998B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Bedford |
| State | IN |