The holder whose full name is Wonso, Jacqueline Ann,come from Portage IN,hold the Dental Hygienist license(NO.13000595A) which status is Expired.
| Name | Wonso, Jacqueline Ann |
|---|---|
| License Number | 13000595A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Portage |
| State | IN |