The holder whose full name is Mathias, Abigail E.,come from Columbia City IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004368) which status is Superceded.
| Name | Mathias, Abigail E. |
|---|---|
| License Number | XS004368 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Columbia City |
| State | IN |