The holder whose full name is Fields, Constance L.,come from Bloomington IN,hold the Dental Radiographer license(NO.XT008633) which status is Active.
| Name | Fields, Constance L. |
|---|---|
| License Number | XT008633 |
| License Type | Dental Radiographer |
| License Status | Active |
| City | Bloomington |
| State | IN |