The holder whose full name is Roth, Candy Jo,come from Portland IN,hold the Dental Hygienist license(NO.13006076A) which status is Active.
| Name | Roth, Candy Jo |
|---|---|
| License Number | 13006076A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Portland |
| State | IN |