The holder whose full name is Maddox, Abby E.,come from Beech Grove IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001691) which status is Superceded.
| Name | Maddox, Abby E. |
|---|---|
| License Number | XS001691 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Beech Grove |
| State | IN |