The holder whose full name is Pate, Phillip Roberts,come from Kokomo IN,hold the CSR-Dentist license(NO.12006519B) which status is Active.
| Name | Pate, Phillip Roberts |
|---|---|
| License Number | 12006519B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Kokomo |
| State | IN |