The holder whose full name is Clinkenbeard, Benjamin J.,come from Fort Wayne IN,hold the CSR-Dentist license(NO.12010541B) which status is Active.
| Name | Clinkenbeard, Benjamin J. |
|---|---|
| License Number | 12010541B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |