The holder whose full name is Borkowski, Carly A,come from Clarks Hill IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS006136) which status is Superceded.
| Name | Borkowski, Carly A |
|---|---|
| License Number | XS006136 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Clarks Hill |
| State | IN |