The holder whose full name is Clark, Connie S.,come from Goshen IN,hold the Dental Hygienist license(NO.13002634A) which status is Active.
| Name | Clark, Connie S. |
|---|---|
| License Number | 13002634A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Goshen |
| State | IN |