The holder whose full name is Weaver, Priscilla Ann,come from South Bend IN,hold the Dental Hygienist license(NO.13000759A) which status is Expired.
| Name | Weaver, Priscilla Ann |
|---|---|
| License Number | 13000759A |
| License Type | Dental Hygienist |
| License Status | Expired |
| City | South Bend |
| State | IN |