The holder whose full name is Potthast, Julia Ann,come from New Palestine IN,hold the Dental Hygiene Anesthesia Permit license(NO.89000764A) which status is Active.
| Name | Potthast, Julia Ann |
|---|---|
| License Number | 89000764A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | New Palestine |
| State | IN |