The holder whose full name is Fritz, Amanda L.,come from Greenwood IN,hold the Dental Radiographer license(NO.XT019743) which status is Revoked.
| Name | Fritz, Amanda L. |
|---|---|
| License Number | XT019743 |
| License Type | Dental Radiographer |
| License Status | Revoked |
| City | Greenwood |
| State | IN |