The holder whose full name is Head, Debra L.,come from Fortville IN,hold the Dental Radiographer license(NO.XT002765) which status is Active.
| Name | Head, Debra L. |
|---|---|
| License Number | XT002765 |
| License Type | Dental Radiographer |
| License Status | Active |
| City | Fortville |
| State | IN |