The holder whose full name is Lewis, Amy M.,come from Solsberry IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002112) which status is Superceded.
| Name | Lewis, Amy M. |
|---|---|
| License Number | XS002112 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Solsberry |
| State | IN |