The holder whose full name is Lake, Vicki L.,come from Fort Wayne IN,hold the Chiropractic Radiographer license(NO.XT003513) which status is Expired.
| Name | Lake, Vicki L. |
|---|---|
| License Number | XT003513 |
| License Type | Chiropractic Radiographer |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |