The holder whose full name is Mihalo, Mark Joseph,come from La Porte IN,hold the CSR-Dentist license(NO.12008927B) which status is Active.
| Name | Mihalo, Mark Joseph |
|---|---|
| License Number | 12008927B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | La Porte |
| State | IN |