The holder whose full name is Payne, Lisa Rae,come from Jeffersonville IN,hold the Dental Hygienist license(NO.13001031A) which status is Expired.
| Name | Payne, Lisa Rae |
|---|---|
| License Number | 13001031A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Jeffersonville |
| State | IN |