The holder whose full name is Bagnoli, Michael L.,come from Logansport IN,hold the CSR-Dentist license(NO.12008541C) which status is Active.
| Name | Bagnoli, Michael L. |
|---|---|
| License Number | 12008541C |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Logansport |
| State | IN |