The holder whose full name is Knickerbocker, Kimberly,come from Portage IN,hold the Dental Hygienist license(NO.13002053A) which status is Active.
| Name | Knickerbocker, Kimberly |
|---|---|
| License Number | 13002053A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Portage |
| State | IN |