The holder whose full name is Smith, Larry Wayne,come from La Porte IN,hold the CSR-Veterinarian license(NO.24003586B) which status is Active.
| Name | Smith, Larry Wayne |
|---|---|
| License Number | 24003586B |
| License Type | CSR-Veterinarian |
| License Status | Active |
| City | La Porte |
| State | IN |