The holder whose full name is Haake, Amanda L.,come from Palmyra IN,hold the Dental Radiographer license(NO.XT011354) which status is Expired.
| Name | Haake, Amanda L. |
|---|---|
| License Number | XT011354 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | Palmyra |
| State | IN |