The holder whose full name is Wiemer, Samantha K.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004851) which status is Superceded.
| Name | Wiemer, Samantha K. |
|---|---|
| License Number | XS004851 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |