The holder whose full name is Gillam, Karla J.,come from Lafayette IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS000905) which status is Superceded.
| Name | Gillam, Karla J. |
|---|---|
| License Number | XS000905 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Lafayette |
| State | IN |