The holder whose full name is Pack, Charlotte Talitha,come from Louisville KY,hold the Dental Hygienist license(NO.13005808A) which status is Expired.
| Name | Pack, Charlotte Talitha |
|---|---|
| License Number | 13005808A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Louisville |
| State | KY |