The holder whose full name is Wiese Kendall, Allison Paige,come from Lafayette IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004049) which status is Superceded.
| Name | Wiese Kendall, Allison Paige |
|---|---|
| License Number | XS004049 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Lafayette |
| State | IN |