The holder whose full name is Dixon, Leisa A.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005738) which status is Superceded.
| Name | Dixon, Leisa A. |
|---|---|
| License Number | XS005738 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |