The holder whose full name is Kucholick, Leisa,come from Fort Wayne IN,hold the Dental Radiographer license(NO.XT022991) which status is Active.
| Name | Kucholick, Leisa |
|---|---|
| License Number | XT022991 |
| License Type | Dental Radiographer |
| License Status | Active |
| City | Fort Wayne |
| State | IN |