The holder whose full name is Fedor, Audra L.,come from Anderson IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS000715) which status is Superceded.
| Name | Fedor, Audra L. |
|---|---|
| License Number | XS000715 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Anderson |
| State | IN |