The holder whose full name is Hayworth, Amber D.,come from Morgantown IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003563) which status is Superceded.
| Name | Hayworth, Amber D. |
|---|---|
| License Number | XS003563 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Morgantown |
| State | IN |