The holder whose full name is Roberts, Angel D.,come from West Lafayette IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001982) which status is Superceded.
| Name | Roberts, Angel D. |
|---|---|
| License Number | XS001982 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | West Lafayette |
| State | IN |