The holder whose full name is Cockrum, Melissa M.,come from Forest IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS000922) which status is Superceded.
| Name | Cockrum, Melissa M. |
|---|---|
| License Number | XS000922 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Forest |
| State | IN |