The holder whose full name is White, Shanda Ann,come from Fortville IN,hold the Acupuncture Detox Specialist license(NO.80000020A) which status is Expired.
| Name | White, Shanda Ann |
|---|---|
| License Number | 80000020A |
| License Type | Acupuncture Detox Specialist |
| License Status | Expired |
| City | Fortville |
| State | IN |