The holder whose full name is Haynes, Carol Joan,come from Lafayette IN,hold the Dental Hygienist license(NO.13000643A) which status is Expired.
| Name | Haynes, Carol Joan |
|---|---|
| License Number | 13000643A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Lafayette |
| State | IN |