The holder whose full name is Gordon, Lila Jane,come from Logansport IN,hold the Dental Hygienist license(NO.13004649A) which status is Active.
| Name | Gordon, Lila Jane |
|---|---|
| License Number | 13004649A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Logansport |
| State | IN |