The holder whose full name is Nowak, Mellany L.,come from Mishawaka IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003667) which status is Expired Non-Renewable.
| Name | Nowak, Mellany L. |
|---|---|
| License Number | XS003667 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Mishawaka |
| State | IN |