The holder whose full name is Smith, Debra K.,come from Bloomington IN,hold the Dental Hygienist license(NO.13004425A) which status is Active.
| Name | Smith, Debra K. |
|---|---|
| License Number | 13004425A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Bloomington |
| State | IN |