The holder whose full name is Romaine, Carly R.,come from Franklin IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS000900) which status is Superceded.
| Name | Romaine, Carly R. |
|---|---|
| License Number | XS000900 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Franklin |
| State | IN |