The holder whose full name is Smith, Derinda Jean,come from Fort Wayne IN,hold the Dental Hygienist license(NO.13004592A) which status is Active.
| Name | Smith, Derinda Jean |
|---|---|
| License Number | 13004592A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |