The holder whose full name is Fick, Antonette,come from South Bend IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002270) which status is Superceded.
| Name | Fick, Antonette |
|---|---|
| License Number | XS002270 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | South Bend |
| State | IN |