The holder whose full name is Roth, Jane Ann,come from Goshen IN,hold the Dental Hygienist license(NO.13000692A) which status is Expired.
| Name | Roth, Jane Ann |
|---|---|
| License Number | 13000692A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Goshen |
| State | IN |