The holder whose full name is Wirt, Amy N.,come from Woodburn IN,hold the Dental Radiographer license(NO.XT007301) which status is Active.
| Name | Wirt, Amy N. |
|---|---|
| License Number | XT007301 |
| License Type | Dental Radiographer |
| License Status | Active |
| City | Woodburn |
| State | IN |