The holder whose full name is Rivera, Alicia N.,come from Portage IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002749) which status is Expired Non-Renewable.
| Name | Rivera, Alicia N. |
|---|---|
| License Number | XS002749 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Portage |
| State | IN |