The holder whose full name is Eckelbarger, Lisa M.,come from Peru IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004535) which status is Superceded.
| Name | Eckelbarger, Lisa M. |
|---|---|
| License Number | XS004535 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Peru |
| State | IN |