The holder whose full name is Sandberg, Diana Lynn,come from Crown Point IN,hold the Dental Hygiene Anesthesia Permit license(NO.89001100A) which status is Active.
| Name | Sandberg, Diana Lynn |
|---|---|
| License Number | 89001100A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Crown Point |
| State | IN |