The holder whose full name is Bunnell, Leesa R.,come from New Haven IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS006840) which status is Superceded.
| Name | Bunnell, Leesa R. |
|---|---|
| License Number | XS006840 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | New Haven |
| State | IN |