The holder whose full name is Harris, Amy M.,come from Lowell IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005634) which status is Superceded.
| Name | Harris, Amy M. |
|---|---|
| License Number | XS005634 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Lowell |
| State | IN |