The holder whose full name is Fruit, Katherine M.,come from Markle IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS006838) which status is Superceded.
| Name | Fruit, Katherine M. |
|---|---|
| License Number | XS006838 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Markle |
| State | IN |