The holder whose full name is Miller, Diamond A.,come from Chesterton IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005644) which status is Superceded.
| Name | Miller, Diamond A. |
|---|---|
| License Number | XS005644 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Chesterton |
| State | IN |