The holder whose full name is Heffernan, Melissa A.,come from Camby IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001724) which status is Superceded.
| Name | Heffernan, Melissa A. |
|---|---|
| License Number | XS001724 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Camby |
| State | IN |