The holder whose full name is MacMillan, Barbara Jane,come from South Bend IN,hold the Dental Hygiene Intern Permit license(NO.44000004A) which status is Expired.
| Name | MacMillan, Barbara Jane |
|---|---|
| License Number | 44000004A |
| License Type | Dental Hygiene Intern Permit |
| License Status | Expired |
| City | South Bend |
| State | IN |