The holder whose full name is Duckworth, Amanda J.,come from Whiteland IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001694) which status is Superceded.
| Name | Duckworth, Amanda J. |
|---|---|
| License Number | XS001694 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Whiteland |
| State | IN |