The holder whose full name is Russell Bossom, Jenni L.,come from Indianapolis IN,hold the Dental Radiographer license(NO.XT017505) which status is Expired.
| Name | Russell Bossom, Jenni L. |
|---|---|
| License Number | XT017505 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | Indianapolis |
| State | IN |