The holder whose full name is Heerema, Debra L.,come from Schererville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001551) which status is Superceded.
| Name | Heerema, Debra L. |
|---|---|
| License Number | XS001551 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Schererville |
| State | IN |