The holder whose full name is Hetrick, Regina L.,come from Woodburn IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002334) which status is Superceded.
| Name | Hetrick, Regina L. |
|---|---|
| License Number | XS002334 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Woodburn |
| State | IN |