The holder whose full name is Butler, Viconte L.,come from Mishawaka IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001348) which status is Superceded.
| Name | Butler, Viconte L. |
|---|---|
| License Number | XS001348 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Mishawaka |
| State | IN |