The holder whose full name is Short, Alyssa R.N.,come from Lafayette IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004791) which status is Superceded.
| Name | Short, Alyssa R.N. |
|---|---|
| License Number | XS004791 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Lafayette |
| State | IN |