The holder whose full name is Wise, Amber Sue,come from Greenwood IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003086) which status is Superceded.
| Name | Wise, Amber Sue |
|---|---|
| License Number | XS003086 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Greenwood |
| State | IN |