The holder whose full name is Shultz, Cynthia Lee,come from Fort Wayne IN,hold the Dental Hygiene Anesthesia Permit license(NO.89000691A) which status is Active.
| Name | Shultz, Cynthia Lee |
|---|---|
| License Number | 89000691A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Fort Wayne |
| State | IN |