The holder whose full name is Gephart, Judith Ann,come from South Bend IN,hold the Dental Hygienist license(NO.13001796A) which status is Active.
| Name | Gephart, Judith Ann |
|---|---|
| License Number | 13001796A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | South Bend |
| State | IN |