The holder whose full name is Puff, Rose M.,come from Fort Wayne IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005188) which status is Superceded.
Name | Puff, Rose M. |
---|---|
License Number | XS005188 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Superceded |
City | Fort Wayne |
State | IN |