The holder whose full name is Gross, Koby R.,come from Elwood IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001135) which status is Expired Non-Renewable.
| Name | Gross, Koby R. |
|---|---|
| License Number | XS001135 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Elwood |
| State | IN |