The holder whose full name is Souder, Heather R.,come from Salem IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002175) which status is Superceded.
| Name | Souder, Heather R. |
|---|---|
| License Number | XS002175 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Salem |
| State | IN |