The holder whose full name is Stump, Brandi M.,come from Lebanon IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004192) which status is Superceded.
| Name | Stump, Brandi M. |
|---|---|
| License Number | XS004192 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Lebanon |
| State | IN |