The holder whose full name is Conklin, Dakota B.,come from Fort Branch IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005984) which status is Expired Non-Renewable.
| Name | Conklin, Dakota B. |
|---|---|
| License Number | XS005984 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Fort Branch |
| State | IN |