The holder whose full name is Ellis, Dianne Estes,come from Lafayette IN,hold the Dental Hygienist license(NO.13001172A) which status is Expired.
| Name | Ellis, Dianne Estes |
|---|---|
| License Number | 13001172A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Lafayette |
| State | IN |