The holder whose full name is Stout, Melanie R.,come from Plainfield IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004466) which status is Expired Non-Renewable.
| Name | Stout, Melanie R. |
|---|---|
| License Number | XS004466 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Plainfield |
| State | IN |