The holder whose full name is Johnson, Jacqueline Kay,come from Fort Wayne IN,hold the Dental Hygienist license(NO.13004416A) which status is Active.
| Name | Johnson, Jacqueline Kay |
|---|---|
| License Number | 13004416A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Fort Wayne |
| State | IN |