The holder whose full name is Kendra, Marisa M.,come from Highland IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001553) which status is Superceded.
| Name | Kendra, Marisa M. |
|---|---|
| License Number | XS001553 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Highland |
| State | IN |