The holder whose full name is Smith, Amy M.,come from Russiaville IN,hold the Dental Radiographer license(NO.XT019262) which status is Expired.
| Name | Smith, Amy M. |
|---|---|
| License Number | XT019262 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | Russiaville |
| State | IN |