The holder whose full name is Graczyk, Diana L.,come from Hammond IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003245) which status is Superceded.
| Name | Graczyk, Diana L. |
|---|---|
| License Number | XS003245 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Hammond |
| State | IN |