The holder whose full name is Stultz, Amy M.,come from Danville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003968) which status is Superceded.
| Name | Stultz, Amy M. |
|---|---|
| License Number | XS003968 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Danville |
| State | IN |