The holder whose full name is Nickerson, Gary Scott,come from Valparaiso IN,hold the Dentist license(NO.12009939A) which status is Active.
| Name | Nickerson, Gary Scott |
|---|---|
| License Number | 12009939A |
| License Type | Dentist |
| License Status | Active |
| City | Valparaiso |
| State | IN |