The holder whose full name is Petty, Joni M.,come from Mooresville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005463) which status is Superceded.
| Name | Petty, Joni M. |
|---|---|
| License Number | XS005463 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Mooresville |
| State | IN |