The holder whose full name is King-Small, Diane Lynn,come from La Crosse IN,hold the Dental Hygienist license(NO.13001378A) which status is Active.
| Name | King-Small, Diane Lynn |
|---|---|
| License Number | 13001378A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | La Crosse |
| State | IN |