The holder whose full name is Lasater, Faith A.,come from Avon IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003231) which status is Superceded.
| Name | Lasater, Faith A. |
|---|---|
| License Number | XS003231 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Avon |
| State | IN |