The holder whose full name is Stant, Amanda J.,come from Fountaintown IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS000533) which status is Expired Non-Renewable.
Name | Stant, Amanda J. |
---|---|
License Number | XS000533 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Expired Non-Renewable |
City | Fountaintown |
State | IN |