The holder whose full name is Banta, Caleb M.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005821) which status is Expired Non-Renewable.
Name | Banta, Caleb M. |
---|---|
License Number | XS005821 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Expired Non-Renewable |
City | Indianapolis |
State | IN |