The holder whose full name is Daugherty, Beth Ann,come from Sullivan IN,hold the Dental Hygienist license(NO.13002719A) which status is Inactive/Expired.
| Name | Daugherty, Beth Ann |
|---|---|
| License Number | 13002719A |
| License Type | Dental Hygienist |
| License Status | Inactive/Expired |
| City | Sullivan |
| State | IN |