The holder whose full name is Wagner, Claudia D.,come from Lebanon IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004193) which status is Superceded.
| Name | Wagner, Claudia D. |
|---|---|
| License Number | XS004193 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Lebanon |
| State | IN |