The holder whose full name is Forehand, Alexa V.,come from Fort Wayne IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS007610) which status is Active.
| Name | Forehand, Alexa V. |
|---|---|
| License Number | XS007610 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Active |
| City | Fort Wayne |
| State | IN |