The holder whose full name is Richards, Alycia R.,come from Fort Wayne IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS006064) which status is Superceded.
Name | Richards, Alycia R. |
---|---|
License Number | XS006064 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Superceded |
City | Fort Wayne |
State | IN |