The holder whose full name is Bannister, Angelica R.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002469) which status is Expired Non-Renewable.
| Name | Bannister, Angelica R. |
|---|---|
| License Number | XS002469 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |