The holder whose full name is Banes, Courtney K.,come from Delphi IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001976) which status is Superceded.
| Name | Banes, Courtney K. |
|---|---|
| License Number | XS001976 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Delphi |
| State | IN |