The holder whose full name is Russell, Melissa S.,come from Washington IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002321) which status is Superceded.
| Name | Russell, Melissa S. |
|---|---|
| License Number | XS002321 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Washington |
| State | IN |