The holder whose full name is Stout, Melinda Jane,come from Fort Wayne IN,hold the Dental Hygienist license(NO.13000514A) which status is Expired.
| Name | Stout, Melinda Jane |
|---|---|
| License Number | 13000514A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |