The holder whose full name is Peterson, Audra L.,come from Chesterton IN,hold the Dental Radiographer license(NO.XT001505) which status is Expired.
| Name | Peterson, Audra L. |
|---|---|
| License Number | XT001505 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | Chesterton |
| State | IN |