The holder whose full name is Shively, Debbie J.,come from Carmel IN,hold the Dental Radiographer license(NO.XT007190) which status is Expired.
| Name | Shively, Debbie J. |
|---|---|
| License Number | XT007190 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | Carmel |
| State | IN |