The holder whose full name is Johnson, Casey M.,come from Bloomington IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004254) which status is Expired Non-Renewable.
| Name | Johnson, Casey M. |
|---|---|
| License Number | XS004254 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Bloomington |
| State | IN |