The holder whose full name is Miller, Macy R.,come from Plainfield IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001374) which status is Expired Non-Renewable.
Name | Miller, Macy R. |
---|---|
License Number | XS001374 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Expired Non-Renewable |
City | Plainfield |
State | IN |