The holder whose full name is Tankersley, Dona J.,come from Bloomington IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004501) which status is Superceded.
| Name | Tankersley, Dona J. |
|---|---|
| License Number | XS004501 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Bloomington |
| State | IN |