The holder whose full name is Miles, Tammy L.,come from Newburgh IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001322) which status is Superceded.
| Name | Miles, Tammy L. |
|---|---|
| License Number | XS001322 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Newburgh |
| State | IN |