The holder whose full name is Blake, Christy Lee,come from Fort Wayne IN,hold the Dental Hygienist license(NO.13001623A) which status is Active.
| Name | Blake, Christy Lee |
|---|---|
| License Number | 13001623A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |