The holder whose full name is Davis, Mimi A.,come from Kokomo IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004534) which status is Expired Non-Renewable.
| Name | Davis, Mimi A. |
|---|---|
| License Number | XS004534 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Kokomo |
| State | IN |