The holder whose full name is Sandberg, Lisa Ann,come from Valparaiso IN,hold the Dental Hygienist license(NO.13003023A) which status is Expired.
| Name | Sandberg, Lisa Ann |
|---|---|
| License Number | 13003023A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Valparaiso |
| State | IN |