The holder whose full name is Polson, Leanna R.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001510) which status is Superceded.
| Name | Polson, Leanna R. |
|---|---|
| License Number | XS001510 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |