The holder whose full name is Traver, Lisa Susan,come from Wabash IN,hold the Dental Hygienist license(NO.13002273A) which status is Active.
| Name | Traver, Lisa Susan |
|---|---|
| License Number | 13002273A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Wabash |
| State | IN |