The holder whose full name is Orta, Micaela N.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003611) which status is Expired Non-Renewable.
| Name | Orta, Micaela N. |
|---|---|
| License Number | XS003611 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |