The holder whose full name is Shock, Heather Marie,come from South Bend IN,hold the Dental Hygienist license(NO.13005647A) which status is Active.
| Name | Shock, Heather Marie |
|---|---|
| License Number | 13005647A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | South Bend |
| State | IN |