The holder whose full name is Dishner, Erica L.,come from Russiaville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004530) which status is Superceded.
| Name | Dishner, Erica L. |
|---|---|
| License Number | XS004530 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Russiaville |
| State | IN |