The holder whose full name is Spence, Ebony V.,come from Park Forest IL,hold the Radiology Student Permit - Dental Radiography license(NO.XS002053) which status is Expired Non-Renewable.
Name | Spence, Ebony V. |
---|---|
License Number | XS002053 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Expired Non-Renewable |
City | Park Forest |
State | IL |