The holder whose full name is Gonzalez, Andrea M.,come from Lake Station IN,hold the Dental Radiographer license(NO.XT019569) which status is Active.
| Name | Gonzalez, Andrea M. |
|---|---|
| License Number | XT019569 |
| License Type | Dental Radiographer |
| License Status | Active |
| City | Lake Station |
| State | IN |