The holder whose full name is Sampson, Caitlyn E,come from Fort Wayne IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS006828) which status is Superceded.
| Name | Sampson, Caitlyn E |
|---|---|
| License Number | XS006828 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |