The holder whose full name is Klomp, Amy Beth,come from Cedar Lake IN,hold the Dental Hygiene Anesthesia Permit license(NO.89000380A) which status is Active.
| Name | Klomp, Amy Beth |
|---|---|
| License Number | 89000380A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Cedar Lake |
| State | IN |