The holder whose full name is Hicks, Telly Marie,come from Noblesville IN,hold the Dental Hygiene Anesthesia Permit license(NO.89001138A) which status is Active.
| Name | Hicks, Telly Marie |
|---|---|
| License Number | 89001138A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Active |
| City | Noblesville |
| State | IN |