The holder whose full name is Fritz, Amanda L.,come from Greenwood IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002528) which status is Superceded.
| Name | Fritz, Amanda L. |
|---|---|
| License Number | XS002528 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Greenwood |
| State | IN |