The holder whose full name is Lopez, Le-An,come from Granger IN,hold the Dental Hygiene Anesthesia Permit license(NO.89000833A) which status is Active.
| Name | Lopez, Le-An |
|---|---|
| License Number | 89000833A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Granger |
| State | IN |