The holder whose full name is Ward, Bethany M.,come from Lapel IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001623) which status is Superceded.
| Name | Ward, Bethany M. |
|---|---|
| License Number | XS001623 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Lapel |
| State | IN |