The holder whose full name is Ellis, Christina D.,come from Pendleton IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002802) which status is Superceded.
| Name | Ellis, Christina D. |
|---|---|
| License Number | XS002802 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Pendleton |
| State | IN |