The holder whose full name is Draper, Tanya M.,come from South Bend IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005655) which status is Expired Non-Renewable.
| Name | Draper, Tanya M. |
|---|---|
| License Number | XS005655 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | South Bend |
| State | IN |