The holder whose full name is Wallace, Margaret L,come from Anderson IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005567) which status is Superceded.
| Name | Wallace, Margaret L |
|---|---|
| License Number | XS005567 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Anderson |
| State | IN |