The holder whose full name is Deardorff, Dale Dennis,come from Mishawaka IN,hold the Physician license(NO.01025330A) which status is Active.
| Name | Deardorff, Dale Dennis |
|---|---|
| License Number | 01025330A |
| License Type | Physician |
| License Status | Active |
| City | Mishawaka |
| State | IN |