The holder whose full name is Ford, Deondrick L.,come from Gary IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002867) which status is Expired Non-Renewable.
Name | Ford, Deondrick L. |
---|---|
License Number | XS002867 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Expired Non-Renewable |
City | Gary |
State | IN |