The holder whose full name is Willoughby, Torre J.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004988) which status is Superceded.
| Name | Willoughby, Torre J. |
|---|---|
| License Number | XS004988 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |