The holder whose full name is Clark, Heather Louise,come from Valparaiso IN,hold the Dental Hygiene Anesthesia Permit license(NO.89000612A) which status is Active.
| Name | Clark, Heather Louise |
|---|---|
| License Number | 89000612A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Valparaiso |
| State | IN |