The holder whose full name is Madyara, Amanda D.,come from Pendleton IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004847) which status is Superceded.
| Name | Madyara, Amanda D. |
|---|---|
| License Number | XS004847 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Pendleton |
| State | IN |