The holder whose full name is Smith, Angela Leslie,come from Gary IN,hold the Dental Hygienist license(NO.13004868A) which status is Inactive/Expired.
| Name | Smith, Angela Leslie |
|---|---|
| License Number | 13004868A |
| License Type | Dental Hygienist |
| License Status | Inactive/Expired |
| City | Gary |
| State | IN |