The holder whose full name is Bustos, Alejandra,come from Lafayette IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS006135) which status is Superceded.
| Name | Bustos, Alejandra |
|---|---|
| License Number | XS006135 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Lafayette |
| State | IN |