The holder whose full name is Tanner, Danielle J.,come from Fort Wayne IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005004) which status is Superceded.
Name | Tanner, Danielle J. |
---|---|
License Number | XS005004 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Superceded |
City | Fort Wayne |
State | IN |