The holder whose full name is Willis, Samantha M.,come from Carmi IL,hold the Radiology Student Permit - Dental Radiography license(NO.XS003341) which status is Expired Non-Renewable.
| Name | Willis, Samantha M. |
|---|---|
| License Number | XS003341 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Carmi |
| State | IL |