The holder whose full name is Niemann, Carla D.,come from Beech Grove IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003943) which status is Superceded.
| Name | Niemann, Carla D. |
|---|---|
| License Number | XS003943 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Beech Grove |
| State | IN |