The holder whose full name is Lickteig, Danielle N.,come from Borden IN,hold the Dental Hygiene Anesthesia Permit license(NO.89000059A) which status is Active.
| Name | Lickteig, Danielle N. |
|---|---|
| License Number | 89000059A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Borden |
| State | IN |