The holder whose full name is Hall, Ava I.,come from Fort Wayne IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004364) which status is Superceded.
Name | Hall, Ava I. |
---|---|
License Number | XS004364 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Superceded |
City | Fort Wayne |
State | IN |