The holder whose full name is Miller, Melissa A.,come from West Lafayette IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS000916) which status is Superceded.
| Name | Miller, Melissa A. |
|---|---|
| License Number | XS000916 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | West Lafayette |
| State | IN |