The holder whose full name is Champine, Deborah A.,come from Avilla IN,hold the Dental Radiographer license(NO.XT010174) which status is Expired.
| Name | Champine, Deborah A. |
|---|---|
| License Number | XT010174 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | Avilla |
| State | IN |