The holder whose full name is Bonilla, Gabriella J.,come from Muncie IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005468) which status is Expired Non-Renewable.
| Name | Bonilla, Gabriella J. |
|---|---|
| License Number | XS005468 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Muncie |
| State | IN |