The holder whose full name is Balk, Julie Lynn,come from Goshen IN,hold the Dental Hygiene Anesthesia Permit license(NO.89000474A) which status is Active.
| Name | Balk, Julie Lynn |
|---|---|
| License Number | 89000474A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Goshen |
| State | IN |