The holder whose full name is Nowak, Lisa M.,come from La Porte IN,hold the Dental Radiographer license(NO.XT010190) which status is Active.
| Name | Nowak, Lisa M. |
|---|---|
| License Number | XT010190 |
| License Type | Dental Radiographer |
| License Status | Active |
| City | La Porte |
| State | IN |