The holder whose full name is Workman, Macy T.,come from Mays IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS006170) which status is Superceded.
| Name | Workman, Macy T. |
|---|---|
| License Number | XS006170 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Mays |
| State | IN |