The holder whose full name is Lichnerowicz, Shelby A.,come from South Bend IN,hold the Dental Hygiene Anesthesia Permit license(NO.89001228A) which status is Active.
Name | Lichnerowicz, Shelby A. |
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License Number | 89001228A |
License Type | Dental Hygiene Anesthesia Permit |
License Status | Active |
City | South Bend |
State | IN |