The holder whose full name is Munoz, Deidra,come from Valparaiso IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003055) which status is Expired Non-Renewable.
| Name | Munoz, Deidra |
|---|---|
| License Number | XS003055 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Valparaiso |
| State | IN |