The holder whose full name is Scott, William G.,come from Bloomfield IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005137) which status is Expired Non-Renewable.
| Name | Scott, William G. |
|---|---|
| License Number | XS005137 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Bloomfield |
| State | IN |