The holder whose full name is Havens, Daysha L.,come from Fairmount IN,hold the Dental Radiographer license(NO.XT010152) which status is Active.
| Name | Havens, Daysha L. |
|---|---|
| License Number | XT010152 |
| License Type | Dental Radiographer |
| License Status | Active |
| City | Fairmount |
| State | IN |