The holder whose full name is Bloom, Holly Lee,come from Brownsburg IN,hold the Dental Hygienist license(NO.13003990A) which status is Active.
| Name | Bloom, Holly Lee |
|---|---|
| License Number | 13003990A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Brownsburg |
| State | IN |