The holder whose full name is Cornell, Amanda M.,come from Lafayette IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS000920) which status is Superceded.
Name | Cornell, Amanda M. |
---|---|
License Number | XS000920 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Superceded |
City | Lafayette |
State | IN |