The holder whose full name is Smith, Lisa Marie,come from Crown Point IN,hold the Dental Hygiene Anesthesia Permit license(NO.89001132A) which status is Active.
| Name | Smith, Lisa Marie |
|---|---|
| License Number | 89001132A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Crown Point |
| State | IN |