The holder whose full name is Bomholt, Michelle A.,come from Jasper IN,hold the Dental Hygienist license(NO.13005739A) which status is Active.
| Name | Bomholt, Michelle A. |
|---|---|
| License Number | 13005739A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Jasper |
| State | IN |