The holder whose full name is Rich, Tara L.,come from Russiaville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS000898) which status is Expired Non-Renewable.
| Name | Rich, Tara L. |
|---|---|
| License Number | XS000898 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Russiaville |
| State | IN |