The holder whose full name is Hartsough, Traci Renee,come from Lagrange IN,hold the Dental Hygiene Anesthesia Permit license(NO.89000949A) which status is Active.
| Name | Hartsough, Traci Renee |
|---|---|
| License Number | 89000949A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Lagrange |
| State | IN |