The holder whose full name is Shapovalova, Lyudmyla,come from South Bend IN,hold the Dental Hygiene Anesthesia Permit license(NO.89001133A) which status is Active.
| Name | Shapovalova, Lyudmyla |
|---|---|
| License Number | 89001133A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | South Bend |
| State | IN |