The holder whose full name is Hack, Carla M.,come from DeMotte IN,hold the Dental Radiographer license(NO.XT003782) which status is Active.
| Name | Hack, Carla M. |
|---|---|
| License Number | XT003782 |
| License Type | Dental Radiographer |
| License Status | Active |
| City | DeMotte |
| State | IN |