The holder whose full name is Davis, Melissa S.,come from Granger IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001579) which status is Superceded.
| Name | Davis, Melissa S. |
|---|---|
| License Number | XS001579 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Granger |
| State | IN |