The holder whose full name is McCullough, Amanda R.,come from Fishers IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002853) which status is Superceded.
| Name | McCullough, Amanda R. |
|---|---|
| License Number | XS002853 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Fishers |
| State | IN |