The holder whose full name is Ford, Pamela Tavenner,come from Evansville IN,hold the Dental Hygienist license(NO.13001712A) which status is Active.
| Name | Ford, Pamela Tavenner |
|---|---|
| License Number | 13001712A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Evansville |
| State | IN |