The holder whose full name is Augustin, Tara L.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS007513) which status is Active.
| Name | Augustin, Tara L. |
|---|---|
| License Number | XS007513 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Active |
| City | Indianapolis |
| State | IN |