The holder whose full name is Johnson, Anita Sue,come from Carmel IN,hold the Dental Hygienist license(NO.13000160A) which status is Expired.
| Name | Johnson, Anita Sue |
|---|---|
| License Number | 13000160A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Carmel |
| State | IN |