The holder whose full name is Wines, Edith A.,come from Danville IN,hold the Dental Radiographer license(NO.XT010615) which status is Expired.
| Name | Wines, Edith A. |
|---|---|
| License Number | XT010615 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | Danville |
| State | IN |