The holder whose full name is Short, Breanna L.,come from Avon IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005966) which status is Expired Non-Renewable.
| Name | Short, Breanna L. |
|---|---|
| License Number | XS005966 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Avon |
| State | IN |