The holder whose full name is Hayes, Loren W.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004182) which status is Superceded.
| Name | Hayes, Loren W. |
|---|---|
| License Number | XS004182 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |