The holder whose full name is Manning, Carly A.,come from North Vernon IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002633) which status is Superceded.
| Name | Manning, Carly A. |
|---|---|
| License Number | XS002633 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | North Vernon |
| State | IN |