The holder whose full name is Fitz, Heidi L.,come from Winamac IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001792) which status is Superceded.
| Name | Fitz, Heidi L. |
|---|---|
| License Number | XS001792 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Winamac |
| State | IN |