The holder whose full name is Petersen, Elizabeth Kay,come from Fort Wayne IN,hold the Dental Hygienist license(NO.13000772A) which status is Active.
| Name | Petersen, Elizabeth Kay |
|---|---|
| License Number | 13000772A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |