The holder whose full name is Bolte, Autumn A.,come from Ferdinand IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003325) which status is Superceded.
Name | Bolte, Autumn A. |
---|---|
License Number | XS003325 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Superceded |
City | Ferdinand |
State | IN |