The holder whose full name is Shapovalova, Lyudmyla,come from South Bend IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002536) which status is Expired Non-Renewable.
| Name | Shapovalova, Lyudmyla |
|---|---|
| License Number | XS002536 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | South Bend |
| State | IN |