The holder whose full name is Shanks, Kelsey N.,come from Lebanon IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004790) which status is Superceded.
| Name | Shanks, Kelsey N. |
|---|---|
| License Number | XS004790 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Lebanon |
| State | IN |