The holder whose full name is Madson, Deanna B.,come from Monticello IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS006119) which status is Superceded.
| Name | Madson, Deanna B. |
|---|---|
| License Number | XS006119 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Monticello |
| State | IN |