The holder whose full name is Gonzalez, Betty Lorraine,come from Eagle ID,hold the Dental Hygienist license(NO.13004642A) which status is Expired.
| Name | Gonzalez, Betty Lorraine |
|---|---|
| License Number | 13004642A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Eagle |
| State | ID |