The holder whose full name is Kulas, Lia M.,come from Crown Point IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001635) which status is Superceded.
| Name | Kulas, Lia M. |
|---|---|
| License Number | XS001635 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Crown Point |
| State | IN |