The holder whose full name is Bates, Carla Ann,come from Cedar Lake IN,hold the Dental Hygienist license(NO.13004775A) which status is Active.
| Name | Bates, Carla Ann |
|---|---|
| License Number | 13004775A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Cedar Lake |
| State | IN |