The holder whose full name is Hizo, Erica J.,come from Tippecanoe IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003092) which status is Superceded.
| Name | Hizo, Erica J. |
|---|---|
| License Number | XS003092 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Tippecanoe |
| State | IN |