The holder whose full name is Potter, Monica Theresa,come from Mishawaka IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003641) which status is Expired Non-Renewable.
| Name | Potter, Monica Theresa |
|---|---|
| License Number | XS003641 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Mishawaka |
| State | IN |