The holder whose full name is Fultz, Cara A.,come from Amboy IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004525) which status is Superceded.
| Name | Fultz, Cara A. |
|---|---|
| License Number | XS004525 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Amboy |
| State | IN |