The holder whose full name is Bass, Monika M.,come from Greenfield IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001505) which status is Superceded.
| Name | Bass, Monika M. |
|---|---|
| License Number | XS001505 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Greenfield |
| State | IN |