The holder whose full name is Buuck, Doretta M,come from Fort Wayne IN,hold the Dental Hygienist license(NO.13002024A) which status is Inactive/Expired.
| Name | Buuck, Doretta M |
|---|---|
| License Number | 13002024A |
| License Type | Dental Hygienist |
| License Status | Inactive/Expired |
| City | Fort Wayne |
| State | IN |