The holder whose full name is Stockberger, Desrah M.,come from Warsaw IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004377) which status is Superceded.
| Name | Stockberger, Desrah M. |
|---|---|
| License Number | XS004377 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Warsaw |
| State | IN |