The holder whose full name is Burgess, Lauren L.,come from Brownsburg IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005577) which status is Expired Non-Renewable.
| Name | Burgess, Lauren L. |
|---|---|
| License Number | XS005577 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Brownsburg |
| State | IN |