The holder whose full name is Wallace, Alicia M.,come from Reelsville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002848) which status is Expired Non-Renewable.
| Name | Wallace, Alicia M. |
|---|---|
| License Number | XS002848 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Reelsville |
| State | IN |