The holder whose full name is Bolante, Ashley N.,come from Brownsburg IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004443) which status is Superceded.
| Name | Bolante, Ashley N. |
|---|---|
| License Number | XS004443 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Brownsburg |
| State | IN |