The holder whose full name is Fields, Donna K.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS000750) which status is Superceded.
| Name | Fields, Donna K. |
|---|---|
| License Number | XS000750 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |