The holder whose full name is Coffee, Brittany M.,come from La Porte IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS006412) which status is Superceded.
| Name | Coffee, Brittany M. |
|---|---|
| License Number | XS006412 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | La Porte |
| State | IN |