The holder whose full name is Matson, Brandi L.,come from Fremont IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001192) which status is Superceded.
| Name | Matson, Brandi L. |
|---|---|
| License Number | XS001192 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Fremont |
| State | IN |