The holder whose full name is Gillam, Kollette A.,come from Flora IN,hold the Dental Hygienist license(NO.13007720A) which status is Active.
| Name | Gillam, Kollette A. |
|---|---|
| License Number | 13007720A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Flora |
| State | IN |