The holder whose full name is Bohac, Katelyn E.,come from Logansport IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005367) which status is Superceded.
| Name | Bohac, Katelyn E. |
|---|---|
| License Number | XS005367 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Logansport |
| State | IN |