The holder whose full name is Hannon, Laura A.,come from PORTAGE IN,hold the CSR-Dentist license(NO.12007861B) which status is Active.
| Name | Hannon, Laura A. |
|---|---|
| License Number | 12007861B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | PORTAGE |
| State | IN |