The holder whose full name is Storer, Amy M.,come from Hartford City IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005350) which status is Superceded.
| Name | Storer, Amy M. |
|---|---|
| License Number | XS005350 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Hartford City |
| State | IN |