The holder whose full name is Schultz, Marissa L.,come from Shelbyville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005273) which status is Superceded.
| Name | Schultz, Marissa L. |
|---|---|
| License Number | XS005273 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Shelbyville |
| State | IN |