The holder whose full name is Mitchell, Heidi A.,come from Jamestown IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001412) which status is Superceded.
| Name | Mitchell, Heidi A. |
|---|---|
| License Number | XS001412 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Jamestown |
| State | IN |