The holder whose full name is Powell, Lacey M.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004449) which status is Expired Non-Renewable.
| Name | Powell, Lacey M. |
|---|---|
| License Number | XS004449 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |