The holder whose full name is Ignacio, Deeanna L.,come from Gary IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002461) which status is Expired Non-Renewable.
| Name | Ignacio, Deeanna L. |
|---|---|
| License Number | XS002461 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Gary |
| State | IN |