The holder whose full name is Shape, Danielle K.,come from Roanoke IN,hold the Dental Radiographer license(NO.XT011387) which status is Active.
| Name | Shape, Danielle K. |
|---|---|
| License Number | XT011387 |
| License Type | Dental Radiographer |
| License Status | Active |
| City | Roanoke |
| State | IN |