The holder whose full name is Fields, Leah D.,come from Anderson IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004024) which status is Superceded.
| Name | Fields, Leah D. |
|---|---|
| License Number | XS004024 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Anderson |
| State | IN |