The holder whose full name is Lakes, Kirstie D.,come from Trafalgar IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005817) which status is Expired Non-Renewable.
Name | Lakes, Kirstie D. |
---|---|
License Number | XS005817 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Expired Non-Renewable |
City | Trafalgar |
State | IN |