The holder whose full name is Johnson, Amie J.,come from Martinsville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002762) which status is Expired Non-Renewable.
| Name | Johnson, Amie J. |
|---|---|
| License Number | XS002762 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Martinsville |
| State | IN |