The holder whose full name is Peacock, Allyson D.,come from Brownsburg IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001503) which status is Superceded.
| Name | Peacock, Allyson D. |
|---|---|
| License Number | XS001503 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Brownsburg |
| State | IN |