The holder whose full name is Prather, Mallory M.,come from Crawfordsville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS006929) which status is Active.
| Name | Prather, Mallory M. |
|---|---|
| License Number | XS006929 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Active |
| City | Crawfordsville |
| State | IN |