The holder whose full name is Bates, Carla A.,come from Cedar Lake IN,hold the Dental Radiographer license(NO.XT001042) which status is Expired.
| Name | Bates, Carla A. |
|---|---|
| License Number | XT001042 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | Cedar Lake |
| State | IN |