The holder whose full name is Shelley, Beverly A.,come from Franklin IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004401) which status is Superceded.
| Name | Shelley, Beverly A. |
|---|---|
| License Number | XS004401 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Franklin |
| State | IN |