The holder whose full name is Taylor, Donnelle S.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003531) which status is Superceded.
| Name | Taylor, Donnelle S. |
|---|---|
| License Number | XS003531 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |