The holder whose full name is Dunivent, Penny A,come from South Bend IN,hold the Dental Radiographer license(NO.XT006061) which status is Expired.
| Name | Dunivent, Penny A |
|---|---|
| License Number | XT006061 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | South Bend |
| State | IN |