The holder whose full name is Zmyslo, Amanda M.,come from South Bend IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS007235) which status is Active.
| Name | Zmyslo, Amanda M. |
|---|---|
| License Number | XS007235 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Active |
| City | South Bend |
| State | IN |