The holder whose full name is Shafer, Marian,come from Madison IN,hold the Dental Hygienist license(NO.13000487A) which status is Expired.
| Name | Shafer, Marian |
|---|---|
| License Number | 13000487A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Madison |
| State | IN |