The holder whose full name is Fields, Alisa Nicole,come from Boonville IN,hold the Dental Hygienist license(NO.13006724A) which status is Active.
| Name | Fields, Alisa Nicole |
|---|---|
| License Number | 13006724A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Boonville |
| State | IN |