The holder whose full name is Smith, Eric C.,come from Carmel IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001628) which status is Superceded.
| Name | Smith, Eric C. |
|---|---|
| License Number | XS001628 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Carmel |
| State | IN |