The holder whose full name is Wildt, Amber D.,come from Newburgh IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002125) which status is Superceded.
| Name | Wildt, Amber D. |
|---|---|
| License Number | XS002125 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Newburgh |
| State | IN |