The holder whose full name is Bergman, Rebecca P.,come from Milan IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004505) which status is Expired Non-Renewable.
| Name | Bergman, Rebecca P. |
|---|---|
| License Number | XS004505 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Milan |
| State | IN |