The holder whose full name is Blythe, Amanda Rae,come from Indianapolis IN,hold the Dental Hygienist license(NO.13007015A) which status is Active.
| Name | Blythe, Amanda Rae |
|---|---|
| License Number | 13007015A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Indianapolis |
| State | IN |