The holder whose full name is Faulstich, Carolyn M.,come from LaPorte IN,hold the Dental Radiographer license(NO.XT002217) which status is Expired.
| Name | Faulstich, Carolyn M. |
|---|---|
| License Number | XT002217 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | LaPorte |
| State | IN |