The holder whose full name is Balcerzak, Tricia Diane,come from Osceola IN,hold the Dental Hygiene Anesthesia Permit license(NO.89000449A) which status is Active.
| Name | Balcerzak, Tricia Diane |
|---|---|
| License Number | 89000449A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Osceola |
| State | IN |