The holder whose full name is Brigham, Annette N.,come from Noblesville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005128) which status is Superceded.
| Name | Brigham, Annette N. |
|---|---|
| License Number | XS005128 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Noblesville |
| State | IN |