The holder whose full name is Householder, Amy Lorene,come from Park City UT,hold the Dental Hygienist license(NO.13004207A) which status is Expired.
| Name | Householder, Amy Lorene |
|---|---|
| License Number | 13004207A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Park City |
| State | UT |