The holder whose full name is Borneman, Dina,come from Elkhart IN,hold the Dental Hygienist license(NO.13000399A) which status is Expired.
| Name | Borneman, Dina |
|---|---|
| License Number | 13000399A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Elkhart |
| State | IN |