The holder whose full name is Johnson, Laci E.,come from Terre Haute IN,hold the Dental Hygiene Anesthesia Permit license(NO.89001122A) which status is Active.
| Name | Johnson, Laci E. |
|---|---|
| License Number | 89001122A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Terre Haute |
| State | IN |