The holder whose full name is Johnson, Kimberly N.,come from Mooresville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS000796) which status is Superceded.
| Name | Johnson, Kimberly N. |
|---|---|
| License Number | XS000796 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Mooresville |
| State | IN |