The holder whose full name is Cissna, Mary K.,come from Fortville IN,hold the Dental Radiographer license(NO.XT011327) which status is Active.
| Name | Cissna, Mary K. |
|---|---|
| License Number | XT011327 |
| License Type | Dental Radiographer |
| License Status | Active |
| City | Fortville |
| State | IN |