The holder whose full name is Larsen, Leslie D.,come from Danville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003932) which status is Expired Non-Renewable.
| Name | Larsen, Leslie D. |
|---|---|
| License Number | XS003932 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Danville |
| State | IN |