The holder whose full name is Borkowski, Amanda L.,come from Lapel IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001049) which status is Expired Non-Renewable.
| Name | Borkowski, Amanda L. |
|---|---|
| License Number | XS001049 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Lapel |
| State | IN |