The holder whose full name is Breneman, Michelle L.,come from Demotte IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002584) which status is Expired Non-Renewable.
| Name | Breneman, Michelle L. |
|---|---|
| License Number | XS002584 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Demotte |
| State | IN |