The holder whose full name is Anderson, Amy M.,come from Gary IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003366) which status is Expired Non-Renewable.
| Name | Anderson, Amy M. |
|---|---|
| License Number | XS003366 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Gary |
| State | IN |