The holder whose full name is Nickell, Alisha F.,come from Lafayette IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004046) which status is Superceded.
| Name | Nickell, Alisha F. |
|---|---|
| License Number | XS004046 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Lafayette |
| State | IN |