The holder whose full name is Delacruz, Aileen A.,come from Newburgh IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003425) which status is Superceded.
| Name | Delacruz, Aileen A. |
|---|---|
| License Number | XS003425 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Newburgh |
| State | IN |