The holder whose full name is Humphrey, Alanah Ann,come from Beech Grove IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004465) which status is Expired Non-Renewable.
| Name | Humphrey, Alanah Ann |
|---|---|
| License Number | XS004465 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Beech Grove |
| State | IN |