The holder whose full name is Needhamer, Ivy J.,come from Evansville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005981) which status is Superceded.
| Name | Needhamer, Ivy J. |
|---|---|
| License Number | XS005981 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Evansville |
| State | IN |