The holder whose full name is Grossnickle, Josephine Mae,come from Wabash IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS007690) which status is Active.
| Name | Grossnickle, Josephine Mae |
|---|---|
| License Number | XS007690 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Active |
| City | Wabash |
| State | IN |