The holder whose full name is Johnson, Haley B.,come from Deputy IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004496) which status is Superceded.
| Name | Johnson, Haley B. |
|---|---|
| License Number | XS004496 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Deputy |
| State | IN |