The holder whose full name is Bettner, Michael D.,come from Lapel IN,hold the CSR-Dentist license(NO.12010800B) which status is Active.
| Name | Bettner, Michael D. |
|---|---|
| License Number | 12010800B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Lapel |
| State | IN |