The holder whose full name is Mac Lennan, Penny Ann,come from Valparaiso IN,hold the Dental Hygienist license(NO.13004051A) which status is Expired.
| Name | Mac Lennan, Penny Ann |
|---|---|
| License Number | 13004051A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | Valparaiso |
| State | IN |