The holder whose full name is Bambenek, Ariel R.,come from South Bend IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005663) which status is Superceded.
Name | Bambenek, Ariel R. |
---|---|
License Number | XS005663 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Superceded |
City | South Bend |
State | IN |