The holder whose full name is Haag, Amanda C.,come from Fairland IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001626) which status is Expired Non-Renewable.
Name | Haag, Amanda C. |
---|---|
License Number | XS001626 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Expired Non-Renewable |
City | Fairland |
State | IN |