The holder whose full name is Mangino, Michael Joseph,come from Clarksville IN,hold the CSR-Dentist license(NO.12011881B) which status is Active.
| Name | Mangino, Michael Joseph |
|---|---|
| License Number | 12011881B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Clarksville |
| State | IN |