The holder whose full name is Shock, Casey D.,come from Knightstown IN,hold the Dental Radiographer license(NO.XT017481) which status is Expired.
| Name | Shock, Casey D. |
|---|---|
| License Number | XT017481 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | Knightstown |
| State | IN |