The holder whose full name is Urbanczyk, Audrey Marie,come from West Lafayette IN,hold the Dental Hygienist license(NO.13003355A) which status is Active.
| Name | Urbanczyk, Audrey Marie |
|---|---|
| License Number | 13003355A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | West Lafayette |
| State | IN |