The holder whose full name is Raque, Edith M,come from Louisville KY,hold the Dental Hygienist license(NO.13001190A) which status is Expired.
| Name | Raque, Edith M |
|---|---|
| License Number | 13001190A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Louisville |
| State | KY |