The holder whose full name is Koon, Tamara D.,come from Peru IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001644) which status is Superceded.
| Name | Koon, Tamara D. |
|---|---|
| License Number | XS001644 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Peru |
| State | IN |