The holder whose full name is Cooper, Michele A.,come from Brownsburg IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004252) which status is Superceded.
| Name | Cooper, Michele A. |
|---|---|
| License Number | XS004252 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Brownsburg |
| State | IN |