The holder whose full name is Tharp, Michelle R.,come from Russiaville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS007045) which status is Superceded.
| Name | Tharp, Michelle R. |
|---|---|
| License Number | XS007045 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Russiaville |
| State | IN |