The holder whose full name is Forsyth, Casey N.,come from Rushville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001512) which status is Expired Non-Renewable.
| Name | Forsyth, Casey N. |
|---|---|
| License Number | XS001512 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Rushville |
| State | IN |