The holder whose full name is Leaty, Branagan N.,come from Evansville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001321) which status is Superceded.
| Name | Leaty, Branagan N. |
|---|---|
| License Number | XS001321 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Evansville |
| State | IN |