The holder whose full name is Smith, Tiffany A.,come from Plainfield IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002403) which status is Expired Non-Renewable.
| Name | Smith, Tiffany A. |
|---|---|
| License Number | XS002403 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Plainfield |
| State | IN |