The holder whose full name is Smith, Emily D.,come from Kokomo IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001650) which status is Superceded.
| Name | Smith, Emily D. |
|---|---|
| License Number | XS001650 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Kokomo |
| State | IN |