The holder whose full name is Villa, Felicitas,come from La Porte IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003633) which status is Expired Non-Renewable.
| Name | Villa, Felicitas |
|---|---|
| License Number | XS003633 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | La Porte |
| State | IN |