The holder whose full name is Alvarez, Alex S.,come from Cedar Lake IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002645) which status is Superceded.
| Name | Alvarez, Alex S. |
|---|---|
| License Number | XS002645 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Cedar Lake |
| State | IN |