The holder whose full name is Spivey, Kristy L.,come from Attica IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS000915) which status is Superceded.
| Name | Spivey, Kristy L. |
|---|---|
| License Number | XS000915 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Attica |
| State | IN |