The holder whose full name is Fagerlind, Brittney N.,come from Monticello IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004780) which status is Superceded.
| Name | Fagerlind, Brittney N. |
|---|---|
| License Number | XS004780 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Monticello |
| State | IN |