The holder whose full name is Irby, Talitha N.,come from Gary IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001474) which status is Expired Non-Renewable.
| Name | Irby, Talitha N. |
|---|---|
| License Number | XS001474 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Gary |
| State | IN |