The holder whose full name is Mercado, Lisa Marie,come from Mishawaka IN,hold the Dental Radiographer license(NO.XT013679) which status is Expired.
| Name | Mercado, Lisa Marie |
|---|---|
| License Number | XT013679 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | Mishawaka |
| State | IN |