The holder whose full name is Capps, Amber R.,come from Elwood IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005809) which status is Superceded.
| Name | Capps, Amber R. |
|---|---|
| License Number | XS005809 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Elwood |
| State | IN |