The holder whose full name is Self, Brooke,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002607) which status is Expired Non-Renewable.
| Name | Self, Brooke |
|---|---|
| License Number | XS002607 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |