The holder whose full name is Prim, Kelley A.,come from Martinsville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002405) which status is Superceded.
| Name | Prim, Kelley A. |
|---|---|
| License Number | XS002405 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Martinsville |
| State | IN |