The holder whose full name is Pitner, Mandy D.,come from Walton IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003501) which status is Superceded.
| Name | Pitner, Mandy D. |
|---|---|
| License Number | XS003501 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Walton |
| State | IN |