The holder whose full name is Middendorf, Max Harold,come from Brownstown IN,hold the CSR-Dentist license(NO.12007300B) which status is Active.
| Name | Middendorf, Max Harold |
|---|---|
| License Number | 12007300B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Brownstown |
| State | IN |