The holder whose full name is Cates, Tracie L.,come from Lake Station IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001790) which status is Superceded.
| Name | Cates, Tracie L. |
|---|---|
| License Number | XS001790 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Lake Station |
| State | IN |