The holder whose full name is Fredrick, Amy L.,come from Columbus IN,hold the Dental Hygiene Anesthesia Permit license(NO.89000828A) which status is Active.
| Name | Fredrick, Amy L. |
|---|---|
| License Number | 89000828A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Columbus |
| State | IN |