The holder whose full name is Rex, Erin N.,come from San Pierre IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005642) which status is Superceded.
| Name | Rex, Erin N. |
|---|---|
| License Number | XS005642 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | San Pierre |
| State | IN |