The holder whose full name is DeWitt, Lacy Lynn,come from Fort Wayne IN,hold the Dental Hygiene Anesthesia Permit license(NO.89000729A) which status is Active.
| Name | DeWitt, Lacy Lynn |
|---|---|
| License Number | 89000729A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Fort Wayne |
| State | IN |