The holder whose full name is Blaze, Denise,come from Clinton IA,hold the Dental Hygienist license(NO.13002112A) which status is Expired.
| Name | Blaze, Denise |
|---|---|
| License Number | 13002112A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Clinton |
| State | IA |