The holder whose full name is Bush, Ayesha L.,come from Gary IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002338) which status is Superceded.
| Name | Bush, Ayesha L. |
|---|---|
| License Number | XS002338 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Gary |
| State | IN |