The holder whose full name is Edmondson, Mallory Lynn,come from La Porte IN,hold the Dental Hygiene Anesthesia Permit license(NO.89000687A) which status is Active.
| Name | Edmondson, Mallory Lynn |
|---|---|
| License Number | 89000687A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | La Porte |
| State | IN |