The holder whose full name is Coulup, Melissa A.,come from Newburgh IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005986) which status is Superceded.
| Name | Coulup, Melissa A. |
|---|---|
| License Number | XS005986 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Newburgh |
| State | IN |