The holder whose full name is Brenner, Megan E.,come from Crown Point IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS006423) which status is Superceded.
| Name | Brenner, Megan E. |
|---|---|
| License Number | XS006423 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Crown Point |
| State | IN |