The holder whose full name is Bellus, Misty A.,come from Gas City IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004854) which status is Superceded.
| Name | Bellus, Misty A. |
|---|---|
| License Number | XS004854 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Gas City |
| State | IN |