The holder whose full name is Wallace, Cassie Marie,come from Patoka IN,hold the Dental Hygiene Anesthesia Permit license(NO.89000942A) which status is Active.
| Name | Wallace, Cassie Marie |
|---|---|
| License Number | 89000942A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Patoka |
| State | IN |