The holder whose full name is Vance, Brooke E.,come from Columbia City IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005184) which status is Superceded.
| Name | Vance, Brooke E. |
|---|---|
| License Number | XS005184 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Columbia City |
| State | IN |