The holder whose full name is Banta, Roberta Ann,come from Terre Haute IN,hold the Student Hearing Aid Dealer license(NO.40002180A) which status is Superceded.
| Name | Banta, Roberta Ann |
|---|---|
| License Number | 40002180A |
| License Type | Student Hearing Aid Dealer |
| License Status | Superceded |
| City | Terre Haute |
| State | IN |