The holder whose full name is Wagoner, Peggy E.,come from Vincennes IN,hold the Dental Radiographer license(NO.XT000400) which status is Expired.
| Name | Wagoner, Peggy E. |
|---|---|
| License Number | XT000400 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | Vincennes |
| State | IN |